D
August 7, 2025
Tag F0883
Corrected Sep 2025
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
D
August 7, 2025
Tag F0881
Corrected Sep 2025
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
No actual harm, potential for more than minimal harm
D
August 7, 2025
Tag F0756
Corrected Sep 2025
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
August 7, 2025
Tag F0699
Corrected Sep 2025
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
No actual harm, potential for more than minimal harm
D
August 7, 2025
Tag F0689
Corrected Sep 2025
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
D
August 7, 2025
Tag F0684
Corrected Sep 2025
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 7, 2025
Tag F0605
Corrected Sep 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
No actual harm, potential for more than minimal harm
E
August 7, 2025
Tag F0887
Corrected Sep 2025
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
No actual harm, potential for more than minimal harm
E
August 7, 2025
Tag F0585
Corrected Sep 2025
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
No actual harm, potential for more than minimal harm
E
August 7, 2025
Tag F0584
Corrected Sep 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
August 7, 2025
Tag F0880
Corrected Sep 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
D
August 6, 2024
Tag F0600
Complaint investigation
Corrected May 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.
No actual harm, potential for more than minimal harm
D
April 19, 2024
Tag F0881
Corrected Jun 2024
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
No actual harm, potential for more than minimal harm
D
April 19, 2024
Tag F0578
Corrected Jun 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
D
February 13, 2023
Tag F0851
Corrected Mar 2023
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
D
February 13, 2023
Tag F0843
Corrected Mar 2023
Administration Deficiencies
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
No actual harm, potential for more than minimal harm
D
February 13, 2023
Tag F0812
Corrected Mar 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
February 13, 2023
Tag F0727
Corrected Mar 2023
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
February 13, 2023
Tag F0610
Corrected Mar 2023
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
D
February 13, 2023
Tag F0609
Corrected Mar 2023
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
J
February 13, 2023
Tag F0600
Corrected Mar 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
K
February 13, 2023
Tag F0867
Corrected Mar 2023
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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.