C
May 1, 2025
Tag F0838
Corrected May 2025
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
May 1, 2025
Tag F0680
Corrected May 2025
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
No actual harm, minimal potential
D
May 1, 2025
Tag F0695
Corrected May 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
No actual harm, potential for more than minimal harm
D
May 1, 2025
Tag F0559
Corrected May 2025
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
No actual harm, potential for more than minimal harm
D
August 8, 2022
Tag F0842
Corrected Sep 2022
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
August 8, 2022
Tag F0685
Corrected Sep 2022
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
No actual harm, potential for more than minimal harm
D
August 8, 2022
Tag F0640
Corrected Sep 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
August 8, 2022
Tag F0569
Corrected Sep 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
E
August 8, 2022
Tag F0761
Corrected Sep 2022
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
No actual harm, potential for more than minimal harm
E
August 8, 2022
Tag F0623
Corrected Sep 2022
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
August 8, 2022
Tag F0610
Corrected Sep 2022
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
D
August 29, 2019
Tag F0757
Corrected Nov 2019
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
August 29, 2019
Tag F0693
Corrected Nov 2019
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
No actual harm, potential for more than minimal harm
D
August 29, 2019
Tag F0684
Corrected Nov 2019
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
August 29, 2019
Tag F0656
Corrected Nov 2019
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
August 29, 2019
Tag F0640
Corrected Nov 2019
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
August 29, 2019
Tag F0638
Corrected Nov 2019
Resident Assessment and Care Planning Deficiencies
Assure that each resident’s assessment is updated at least once every 3 months.
No actual harm, potential for more than minimal harm
D
August 29, 2019
Tag F0636
Corrected Nov 2019
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
E
August 29, 2019
Tag F0582
Corrected Nov 2019
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
No actual harm, potential for more than minimal harm
E
August 29, 2019
Tag F0565
Corrected Nov 2019
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
No actual harm, potential for more than minimal harm
F
August 29, 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
F
August 29, 2019
Tag F0607
Corrected Nov 2019
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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.