D
February 26, 2025
Tag F0812
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
D
February 26, 2025
Tag F0803
Corrected Apr 2025
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
February 26, 2025
Tag F0640
Corrected Apr 2025
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
September 6, 2024
Tag F0610
Complaint investigation
Corrected Oct 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
D
September 6, 2024
Tag F0609
Complaint investigation
Corrected Oct 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
August 23, 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
August 23, 2024
Tag F0695
Corrected Oct 2024
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
August 23, 2024
Tag F0645
Corrected Oct 2024
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
No actual harm, potential for more than minimal harm
D
August 23, 2024
Tag F0641
Corrected Oct 2024
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
E
August 23, 2024
Tag F0727
Corrected Sep 2024
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
No actual harm, potential for more than minimal harm
D
March 15, 2024
Tag F0689
Complaint investigation
Corrected May 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
E
March 15, 2024
Tag F0661
Complaint investigation
Corrected May 2024
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
No actual harm, potential for more than minimal harm
E
March 15, 2024
Tag F0623
Complaint investigation
Corrected May 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
March 15, 2024
Tag F0622
Complaint investigation
Corrected May 2024
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
November 16, 2023
Tag F0812
Corrected Dec 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
D
November 16, 2023
Tag F0693
Complaint investigation
Corrected Feb 2024
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
E
November 16, 2023
Tag F0919
Corrected Dec 2023
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 16, 2023
Tag F0755
Corrected Dec 2023
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 16, 2023
Tag F0580
Corrected Dec 2023
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
G
November 16, 2023
Tag F0760
Corrected Dec 2023
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Actual harm to a resident
D
August 4, 2023
Tag F0656
Complaint investigation
Corrected Sep 2023
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
August 4, 2023
Tag F0655
Complaint investigation
Corrected Sep 2023
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
E
August 4, 2023
Tag F0610
Complaint investigation
Corrected Sep 2023
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
E
August 4, 2023
Tag F0607
Complaint investigation
Corrected Sep 2023
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
E
August 4, 2023
Tag F0584
Complaint investigation
Corrected Sep 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
E
August 4, 2023
Tag F0567
Complaint investigation
Corrected Sep 2023
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
No actual harm, potential for more than minimal harm
E
August 4, 2023
Tag F0565
Complaint investigation
Corrected Sep 2023
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
K
August 4, 2023
Tag F0726
Complaint investigation
Corrected Sep 2023
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.
Immediate jeopardy to resident health or safety
K
August 4, 2023
Tag F0689
Complaint investigation
Corrected Sep 2023
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate jeopardy to resident health or safety
K
August 4, 2023
Tag F0684
Complaint investigation
Corrected Sep 2023
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate jeopardy to resident health or safety
K
August 4, 2023
Tag F0600
Complaint investigation
Corrected Sep 2023
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate jeopardy to resident health or safety
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.