D
September 24, 2024
Tag F0697
Complaint investigation
Corrected Oct 2024
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
No actual harm, potential for more than minimal harm
D
September 12, 2024
Tag F0849
Corrected Oct 2024
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
No actual harm, potential for more than minimal harm
D
September 12, 2024
Tag F0760
Corrected Oct 2024
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
D
September 12, 2024
Tag F0759
Corrected Oct 2024
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
No actual harm, potential for more than minimal harm
D
September 12, 2024
Tag F0758
Corrected Oct 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 F0756
Corrected Oct 2024
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
D
September 12, 2024
Tag F0755
Corrected Oct 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
D
September 12, 2024
Tag F0684
Corrected Oct 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
D
September 12, 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
September 12, 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
F
September 12, 2024
Tag F0880
Corrected Oct 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
F
September 12, 2024
Tag F0814
Corrected Oct 2024
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
No actual harm, potential for more than minimal harm
D
August 15, 2024
Tag F0563
Complaint investigation
Corrected Sep 2024
Resident Rights Deficiencies
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
No actual harm, potential for more than minimal harm
D
June 5, 2024
Tag F0693
Complaint investigation
Corrected Jun 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
D
April 3, 2024
Tag F0655
Complaint investigation
Corrected Apr 2024
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
G
April 3, 2024
Tag F0600
Complaint investigation
Corrected Apr 2024
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.
Actual harm to a resident
D
October 25, 2023
Tag F0812
Complaint investigation
Corrected Nov 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
October 25, 2023
Tag F0761
Complaint investigation
Corrected Nov 2023
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
D
May 6, 2021
Tag F0868
Corrected Jun 2021
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
D
May 6, 2021
Tag F0803
Corrected Jun 2021
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
May 6, 2021
Tag F0761
Corrected Jun 2021
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
D
May 6, 2021
Tag F0760
Corrected Jun 2021
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
D
May 6, 2021
Tag F0759
Corrected Jun 2021
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
No actual harm, potential for more than minimal harm
D
May 6, 2021
Tag F0710
Corrected Jun 2021
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
No actual harm, potential for more than minimal harm
D
May 6, 2021
Tag F0695
Corrected Jun 2021
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 6, 2021
Tag F0688
Corrected Jun 2021
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
May 6, 2021
Tag F0677
Corrected Jun 2021
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
No actual harm, potential for more than minimal harm
D
May 6, 2021
Tag F0658
Corrected Jun 2021
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
May 6, 2021
Tag F0881
Corrected Jun 2021
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
No actual harm, potential for more than minimal harm
E
May 6, 2021
Tag F0880
Corrected Jun 2021
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
E
May 6, 2021
Tag F0812
Corrected Jun 2021
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
May 6, 2021
Tag F0804
Corrected Jun 2021
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
E
May 6, 2021
Tag F0656
Corrected Jun 2021
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
September 26, 2019
Tag F0842
Corrected Oct 2019
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
September 26, 2019
Tag F0698
Corrected Oct 2019
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
No actual harm, potential for more than minimal harm
D
September 26, 2019
Tag F0693
Corrected Oct 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
September 26, 2019
Tag F0686
Corrected Oct 2019
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
September 26, 2019
Tag F0676
Corrected Oct 2019
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
No actual harm, potential for more than minimal harm
D
September 26, 2019
Tag F0659
Corrected Oct 2019
Resident Assessment and Care Planning Deficiencies
Provide care by qualified persons according to each resident's written plan of care.
No actual harm, potential for more than minimal harm
D
September 26, 2019
Tag F0655
Corrected Oct 2019
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
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.