D
December 6, 2024
Tag F0813
Corrected Dec 2024
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
No actual harm, potential for more than minimal harm
D
December 6, 2024
Tag F0636
Corrected Jan 2025
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
No actual harm, potential for more than minimal harm
D
December 6, 2024
Tag F0583
Corrected Jan 2025
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
No actual harm, potential for more than minimal harm
E
December 6, 2024
Tag F0584
Corrected Feb 2025
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
No actual harm, potential for more than minimal harm
F
December 6, 2024
Tag F0908
Corrected Jan 2025
Environmental Deficiencies
Keep all essential equipment working safely.
No actual harm, potential for more than minimal harm
F
December 6, 2024
Tag F0880
Corrected Jan 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
F
December 6, 2024
Tag F0812
Corrected Jan 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
F
December 6, 2024
Tag F0804
Corrected Feb 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
No actual harm, potential for more than minimal harm
C
April 9, 2024
Tag F0838
Corrected May 2024
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
No actual harm, minimal potential
C
April 9, 2024
Tag F0679
Corrected May 2024
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
No actual harm, minimal potential
C
April 9, 2024
Tag F0577
Corrected May 2024
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
No actual harm, minimal potential
E
April 9, 2024
Tag F0880
Corrected May 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
E
April 9, 2024
Tag F0692
Corrected May 2024
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
No actual harm, potential for more than minimal harm
E
April 9, 2024
Tag F0584
Corrected Jun 2024
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
No actual harm, potential for more than minimal harm
E
April 9, 2024
Tag F0578
Corrected May 2024
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
No actual harm, potential for more than minimal harm
F
April 9, 2024
Tag F0925
Corrected May 2024
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
No actual harm, potential for more than minimal harm
F
April 9, 2024
Tag F0924
Corrected May 2024
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
No actual harm, potential for more than minimal harm
F
April 9, 2024
Tag F0868
Corrected Jun 2024
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
No actual harm, potential for more than minimal harm
F
April 9, 2024
Tag F0867
Corrected Jun 2024
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
No actual harm, potential for more than minimal harm
F
April 9, 2024
Tag F0865
Corrected Jun 2024
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
No actual harm, potential for more than minimal harm
F
April 9, 2024
Tag F0851
Corrected May 2024
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
No actual harm, potential for more than minimal harm
F
April 9, 2024
Tag F0812
Corrected Jun 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
F
April 9, 2024
Tag F0802
Corrected May 2024
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
No actual harm, potential for more than minimal harm
F
April 9, 2024
Tag F0801
Corrected May 2024
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
No actual harm, potential for more than minimal harm
F
April 9, 2024
Tag F0800
Corrected May 2024
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
No actual harm, potential for more than minimal harm
F
April 9, 2024
Tag F0725
Corrected May 2024
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.
No actual harm, potential for more than minimal harm
C
April 18, 2023
Tag F0741
Corrected Jun 2023
Quality of Life and Care Deficiencies
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.
No actual harm, minimal potential
C
April 18, 2023
Tag F0740
Corrected May 2023
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, minimal potential
D
April 18, 2023
Tag F0803
Corrected May 2023
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
No actual harm, potential for more than minimal harm
D
April 18, 2023
Tag F0692
Corrected May 2023
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
No actual harm, potential for more than minimal harm
E
April 18, 2023
Tag F0908
Corrected May 2023
Environmental Deficiencies
Keep all essential equipment working safely.
No actual harm, potential for more than minimal harm
E
April 18, 2023
Tag F0584
Corrected May 2023
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
No actual harm, potential for more than minimal harm
F
April 18, 2023
Tag F0880
Corrected May 2023
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
F
April 18, 2023
Tag F0812
Corrected Jun 2023
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
F
April 18, 2023
Tag F0725
Corrected May 2023
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.
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.