D
September 12, 2024
Tag F0758
Corrected Sep 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
D
September 12, 2024
Tag F0757
Corrected Sep 2024
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
No actual harm, potential for more than minimal harm
D
February 8, 2024
Tag F0610
Complaint investigation
Corrected Feb 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
D
February 8, 2024
Tag F0609
Complaint investigation
Corrected Feb 2024
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
February 8, 2024
Tag F0580
Complaint investigation
Corrected Feb 2024
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
August 23, 2023
Tag F0550
Complaint investigation
Corrected Sep 2023
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
No actual harm, potential for more than minimal harm
C
July 18, 2022
Tag F0868
Corrected Aug 2022
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
No actual harm, minimal potential
D
July 18, 2022
Tag F0888
Corrected Aug 2022
Infection Control Deficiencies
Ensure staff are vaccinated for COVID-19
No actual harm, potential for more than minimal harm
D
July 18, 2022
Tag F0758
Corrected Aug 2022
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
D
July 18, 2022
Tag F0688
Corrected Aug 2022
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
No actual harm, potential for more than minimal harm
D
July 18, 2022
Tag F0657
Corrected Aug 2022
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
July 18, 2022
Tag F0656
Corrected Aug 2022
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
D
July 18, 2022
Tag F0645
Corrected Aug 2022
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
No actual harm, potential for more than minimal harm
D
July 18, 2022
Tag F0641
Corrected Aug 2022
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
D
July 18, 2022
Tag F0640
Corrected Aug 2022
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
July 18, 2022
Tag F0625
Corrected Aug 2022
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
No actual harm, potential for more than minimal harm
D
July 18, 2022
Tag F0622
Corrected Aug 2022
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
No actual harm, potential for more than minimal harm
D
July 18, 2022
Tag F0569
Corrected Aug 2022
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
No actual harm, potential for more than minimal harm
D
October 31, 2019
Tag F0758
Corrected Nov 2019
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
D
October 31, 2019
Tag F0692
Corrected Nov 2019
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
D
October 31, 2019
Tag F0679
Corrected Nov 2019
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
No actual harm, potential for more than minimal harm
F
October 31, 2019
Tag F0880
Corrected Nov 2019
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.