D
August 22, 2025
Tag F0761
Corrected Oct 2025
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
August 22, 2025
Tag F0755
Corrected Oct 2025
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
August 22, 2025
Tag F0691
Corrected Oct 2025
Quality of Life and Care Deficiencies
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
No actual harm, potential for more than minimal harm
D
August 22, 2025
Tag F0658
Corrected Oct 2025
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
D
August 22, 2025
Tag F0641
Corrected Oct 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
D
August 22, 2025
Tag F0605
Corrected Oct 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
D
August 22, 2025
Tag F0550
Corrected Oct 2025
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
E
August 22, 2025
Tag F0945
Corrected Oct 2025
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
No actual harm, potential for more than minimal harm
E
August 22, 2025
Tag F0887
Corrected Oct 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 22, 2025
Tag F0584
Corrected Oct 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
E
August 22, 2025
Tag F0578
Corrected Oct 2025
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
F
August 22, 2025
Tag F0882
Corrected Oct 2025
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
No actual harm, potential for more than minimal harm
F
August 22, 2025
Tag F0880
Corrected Oct 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
F
August 22, 2025
Tag F0868
Corrected Oct 2025
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
F
August 22, 2025
Tag F0867
Corrected Oct 2025
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
No actual harm, potential for more than minimal harm
F
August 22, 2025
Tag F0837
Corrected Sep 2025
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
No actual harm, potential for more than minimal harm
F
August 22, 2025
Tag F0812
Corrected Oct 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
G
August 22, 2025
Tag F0561
Corrected Oct 2025
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Actual harm to a resident
C
August 9, 2024
Tag F0880
Corrected Aug 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, minimal potential
C
August 9, 2024
Tag F0837
Corrected Aug 2024
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
No actual harm, minimal potential
C
August 9, 2024
Tag F0732
Corrected Aug 2024
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
No actual harm, minimal potential
D
August 9, 2024
Tag F0865
Corrected Aug 2024
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
No actual harm, potential for more than minimal harm
D
August 9, 2024
Tag F0842
Corrected Sep 2024
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 9, 2024
Tag F0838
Corrected Aug 2024
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, potential for more than minimal harm
D
August 9, 2024
Tag F0790
Corrected Aug 2024
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
No actual harm, potential for more than minimal harm
D
August 9, 2024
Tag F0698
Corrected Aug 2024
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
August 9, 2024
Tag F0684
Corrected Aug 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
August 9, 2024
Tag F0657
Corrected Aug 2024
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
August 9, 2024
Tag F0641
Corrected Aug 2024
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
D
August 9, 2024
Tag F0625
Corrected Aug 2024
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
August 9, 2024
Tag F0623
Corrected Aug 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
August 9, 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
E
August 9, 2024
Tag F0686
Corrected Aug 2024
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
E
August 9, 2024
Tag F0656
Corrected Aug 2024
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
F
August 9, 2024
Tag F0645
Corrected Aug 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
September 29, 2023
Tag F0812
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
September 29, 2023
Tag F0684
Corrected Dec 2023
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 29, 2023
Tag F0660
Corrected Dec 2023
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
No actual harm, potential for more than minimal harm
D
September 29, 2023
Tag F0610
Corrected Nov 2023
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
D
September 29, 2023
Tag F0609
Corrected Nov 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
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.