D
March 3, 2026
Tag F0609
Complaint investigation
Corrected Mar 2026
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, potential for more than minimal harm
D
March 3, 2026
Tag F0604
Complaint investigation
Corrected Mar 2026
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
No actual harm, potential for more than minimal harm
E
March 3, 2026
Tag F0940
Complaint investigation
Corrected Mar 2026
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
No actual harm, potential for more than minimal harm
D
November 18, 2025
Tag F0949
Complaint investigation
Corrected Jan 2026
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
No actual harm, potential for more than minimal harm
D
November 18, 2025
Tag F0684
Complaint investigation
Corrected Jan 2026
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
E
November 18, 2025
Tag F0756
Complaint investigation
Corrected Jan 2026
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
No actual harm, potential for more than minimal harm
E
November 18, 2025
Tag F0740
Complaint investigation
Corrected Jan 2026
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
No actual harm, potential for more than minimal harm
E
November 18, 2025
Tag F0658
Complaint investigation
Corrected Jan 2026
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
E
November 18, 2025
Tag F0656
Complaint investigation
Corrected Jan 2026
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
No actual harm, potential for more than minimal harm
E
November 18, 2025
Tag F0605
Complaint investigation
Corrected Jan 2026
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
No actual harm, potential for more than minimal harm
E
November 18, 2025
Tag F0580
Complaint investigation
Corrected Jan 2026
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, potential for more than minimal harm
D
June 18, 2025
Tag F0658
Complaint investigation
Corrected Jul 2025
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
D
June 18, 2025
Tag F0641
Complaint investigation
Corrected Jul 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
D
June 18, 2025
Tag F0580
Complaint investigation
Corrected Jul 2025
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
No actual harm, potential for more than minimal harm
E
June 18, 2025
Tag F0949
Complaint investigation
Corrected Jul 2025
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
No actual harm, potential for more than minimal harm
E
June 18, 2025
Tag F0842
Complaint investigation
Corrected Jul 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
No actual harm, potential for more than minimal harm
E
June 18, 2025
Tag F0657
Complaint investigation
Corrected Jul 2025
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
D
February 20, 2025
Tag F0842
Complaint investigation
Corrected Apr 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
No actual harm, potential for more than minimal harm
D
February 20, 2025
Tag F0726
Complaint investigation
Corrected Apr 2025
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
No actual harm, potential for more than minimal harm
D
February 20, 2025
Tag F0686
Complaint investigation
Corrected Apr 2025
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
No actual harm, potential for more than minimal harm
D
February 20, 2025
Tag F0684
Complaint investigation
Corrected Apr 2025
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
D
February 20, 2025
Tag F0658
Complaint investigation
Corrected Apr 2025
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
D
February 20, 2025
Tag F0655
Complaint investigation
Corrected Apr 2025
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
No actual harm, potential for more than minimal harm
F
February 20, 2025
Tag F0812
Complaint investigation
Corrected Apr 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
G
February 20, 2025
Tag F0725
Complaint investigation
Corrected Apr 2025
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Actual harm to a resident
G
February 20, 2025
Tag F0677
Complaint investigation
Corrected Apr 2025
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Actual harm to a resident
D
November 6, 2024
Tag F0947
Corrected Dec 2024
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
No actual harm, potential for more than minimal harm
D
November 6, 2024
Tag F0690
Corrected Dec 2024
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
No actual harm, potential for more than minimal harm
D
November 6, 2024
Tag F0689
Corrected Dec 2024
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
D
November 6, 2024
Tag F0640
Corrected Dec 2024
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
No actual harm, potential for more than minimal harm
D
November 6, 2024
Tag F0623
Corrected Dec 2024
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
No actual harm, potential for more than minimal harm
E
November 6, 2024
Tag F0941
Corrected Dec 2024
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
No actual harm, potential for more than minimal harm
E
November 6, 2024
Tag F0919
Corrected Dec 2024
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
No actual harm, potential for more than minimal harm
E
November 6, 2024
Tag F0812
Corrected Dec 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
No actual harm, potential for more than minimal harm
E
November 6, 2024
Tag F0791
Corrected Dec 2024
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
No actual harm, potential for more than minimal harm
E
November 6, 2024
Tag F0758
Corrected Dec 2024
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
No actual harm, potential for more than minimal harm
E
November 6, 2024
Tag F0755
Corrected Dec 2024
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
No actual harm, potential for more than minimal harm
E
November 6, 2024
Tag F0684
Corrected Dec 2024
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
E
November 6, 2024
Tag F0658
Corrected Dec 2024
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
E
November 6, 2024
Tag F0657
Corrected Dec 2024
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
No actual harm, potential for more than minimal harm
Citations are published by CMS from state survey agency findings. A citation describes what an inspector
observed on a specific date; homes are required to submit a correction plan, and many findings are resolved
long before you read them. Ask the administrator what happened and what changed.