D
January 31, 2025
Tag F0684
Complaint investigation
Corrected Mar 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
January 31, 2025
Tag F0657
Complaint investigation
Corrected Mar 2025
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
January 31, 2025
Tag F0610
Complaint investigation
Corrected Feb 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
D
January 31, 2025
Tag F0609
Complaint investigation
Corrected Feb 2025
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
G
January 31, 2025
Tag F0600
Complaint investigation
Corrected Feb 2025
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
September 27, 2024
Tag F0761
Corrected Oct 2024
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
September 27, 2024
Tag F0657
Corrected Oct 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
September 27, 2024
Tag F0550
Corrected Oct 2024
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
September 27, 2024
Tag F0921
Corrected Oct 2024
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
No actual harm, potential for more than minimal harm
E
September 27, 2024
Tag F0584
Corrected Oct 2024
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
September 27, 2024
Tag F0867
Corrected Oct 2024
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
September 15, 2023
Tag F0563
Complaint investigation
Corrected Oct 2023
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
September 15, 2023
Tag F0883
Corrected Oct 2023
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
D
September 15, 2023
Tag F0697
Corrected Oct 2023
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 15, 2023
Tag F0661
Corrected Oct 2023
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
D
September 15, 2023
Tag F0660
Corrected Oct 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 15, 2023
Tag F0655
Corrected Oct 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
D
September 15, 2023
Tag F0622
Corrected Oct 2023
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
September 15, 2023
Tag F0582
Corrected Oct 2023
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
D
September 15, 2023
Tag F0578
Corrected Dec 2023
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
E
September 15, 2023
Tag F0585
Corrected Oct 2023
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
September 15, 2023
Tag F0584
Corrected Oct 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
September 15, 2023
Tag F0565
Corrected Oct 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
E
September 15, 2023
Tag F0552
Corrected Dec 2023
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
No actual harm, potential for more than minimal harm
F
September 15, 2023
Tag F0919
Corrected Oct 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
F
September 15, 2023
Tag F0880
Corrected Dec 2023
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
F
September 15, 2023
Tag F0865
Corrected Oct 2023
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
No actual harm, potential for more than minimal harm
F
September 15, 2023
Tag F0837
Corrected Oct 2023
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
September 15, 2023
Tag F0835
Corrected Oct 2023
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
No actual harm, potential for more than minimal harm
F
September 15, 2023
Tag F0812
Corrected Oct 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
F
September 15, 2023
Tag F0730
Corrected Oct 2023
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
No actual harm, potential for more than minimal harm
F
September 15, 2023
Tag F0657
Corrected Oct 2023
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
G
September 15, 2023
Tag F0689
Corrected Oct 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.
Actual harm to a resident
G
September 15, 2023
Tag F0684
Corrected Oct 2023
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Actual harm to a resident
D
October 6, 2022
Tag F0811
Corrected Oct 2022
Nutrition and Dietary Deficiencies
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.
No actual harm, potential for more than minimal harm
D
October 6, 2022
Tag F0728
Corrected Oct 2022
Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
No actual harm, potential for more than minimal harm
D
October 6, 2022
Tag F0688
Corrected Oct 2022
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
October 6, 2022
Tag F0684
Corrected Oct 2022
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
October 6, 2022
Tag F0656
Corrected Oct 2022
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
October 6, 2022
Tag F0584
Corrected Oct 2022
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
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.