D
August 9, 2023
Tag F0761
Complaint investigation
Corrected Sep 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
August 9, 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
D
August 9, 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
J
August 9, 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
D
August 5, 2022
Tag F0921
Corrected Oct 2022
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
D
August 5, 2022
Tag F0908
Corrected Oct 2022
Environmental Deficiencies
Keep all essential equipment working safely.
No actual harm, potential for more than minimal harm
D
August 5, 2022
Tag F0842
Corrected Oct 2022
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 5, 2022
Tag F0812
Corrected Dec 2022
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
August 5, 2022
Tag F0804
Corrected Oct 2022
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
D
August 5, 2022
Tag F0791
Corrected Oct 2022
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
No actual harm, potential for more than minimal harm
D
August 5, 2022
Tag F0761
Corrected Oct 2022
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 5, 2022
Tag F0756
Corrected Oct 2022
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 5, 2022
Tag F0755
Corrected Dec 2022
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 5, 2022
Tag F0744
Corrected Oct 2022
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
No actual harm, potential for more than minimal harm
D
August 5, 2022
Tag F0726
Corrected Oct 2022
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.
No actual harm, potential for more than minimal harm
D
August 5, 2022
Tag F0698
Corrected Oct 2022
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 5, 2022
Tag F0697
Corrected Dec 2022
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
August 5, 2022
Tag F0695
Corrected Dec 2022
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 5, 2022
Tag F0689
Corrected Oct 2022
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 5, 2022
Tag F0679
Corrected Oct 2022
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
No actual harm, potential for more than minimal harm
D
August 5, 2022
Tag F0677
Corrected Oct 2022
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
August 5, 2022
Tag F0657
Corrected Oct 2022
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 5, 2022
Tag F0655
Corrected Oct 2022
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
August 5, 2022
Tag F0635
Corrected Oct 2022
Resident Assessment and Care Planning Deficiencies
Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
No actual harm, potential for more than minimal harm
D
August 5, 2022
Tag F0623
Corrected Oct 2022
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
D
August 5, 2022
Tag F0622
Corrected Oct 2022
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
August 5, 2022
Tag F0609
Corrected Oct 2022
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
E
August 5, 2022
Tag F0880
Corrected Oct 2022
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
E
August 5, 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
E
August 5, 2022
Tag F0625
Corrected Oct 2022
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
E
August 5, 2022
Tag F0610
Corrected Dec 2022
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
E
August 5, 2022
Tag F0607
Corrected Dec 2022
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 5, 2022
Tag F0578
Corrected Oct 2022
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 5, 2022
Tag F0882
Corrected Oct 2022
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
G
August 5, 2022
Tag F0686
Corrected Oct 2022
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Actual harm to a resident
D
December 9, 2019
Tag F0924
Corrected Jan 2020
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
No actual harm, potential for more than minimal harm
D
December 9, 2019
Tag F0919
Corrected Jan 2020
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
D
December 9, 2019
Tag F0842
Corrected Jan 2020
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
December 9, 2019
Tag F0698
Corrected Jan 2020
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
December 9, 2019
Tag F0689
Corrected Jan 2020
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
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.