D
June 25, 2025
Tag F0600
Complaint investigation
Corrected Jun 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.
No actual harm, potential for more than minimal harm
D
May 22, 2025
Tag F0641
Complaint investigation
Corrected Jun 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
E
May 22, 2025
Tag F0689
Complaint investigation
Corrected Jun 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
May 6, 2025
Tag F0656
Corrected May 2025
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
May 6, 2025
Tag F0801
Corrected May 2025
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
No actual harm, potential for more than minimal harm
E
April 23, 2025
Tag F0610
Complaint investigation
Corrected Apr 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
E
April 23, 2025
Tag F0600
Complaint investigation
Corrected May 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.
No actual harm, potential for more than minimal harm
D
April 15, 2025
Tag F0908
Complaint investigation
Corrected May 2025
Environmental Deficiencies
Keep all essential equipment working safely.
No actual harm, potential for more than minimal harm
D
April 15, 2025
Tag F0760
Complaint investigation
Corrected May 2025
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
D
April 15, 2025
Tag F0744
Complaint investigation
Corrected May 2025
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
April 15, 2025
Tag F0742
Complaint investigation
Corrected May 2025
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
No actual harm, potential for more than minimal harm
D
April 15, 2025
Tag F0689
Complaint investigation
Corrected May 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
April 15, 2025
Tag F0609
Complaint investigation
Corrected May 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
April 15, 2025
Tag F0600
Complaint investigation
Corrected May 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
C
March 26, 2025
Tag F0607
Complaint investigation
Corrected Mar 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
No actual harm, minimal potential
D
March 26, 2025
Tag F0656
Complaint investigation
Corrected Mar 2025
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
January 22, 2025
Tag F0806
Complaint investigation
Corrected Feb 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
No actual harm, potential for more than minimal harm
E
January 22, 2025
Tag F0584
Complaint investigation
Corrected Feb 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
January 22, 2025
Tag F0803
Complaint investigation
Corrected Feb 2025
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
F
January 22, 2025
Tag F0802
Complaint investigation
Corrected Feb 2025
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
No actual harm, potential for more than minimal harm
F
January 22, 2025
Tag F0725
Complaint investigation
Corrected Feb 2025
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
No actual harm, potential for more than minimal harm
D
January 9, 2025
Tag F0677
Complaint investigation
Corrected Jan 2025
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 20, 2024
Tag F0677
Complaint investigation
Corrected Sep 2024
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 20, 2024
Tag F0552
Complaint investigation
Corrected Aug 2024
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
E
August 20, 2024
Tag F0760
Complaint investigation
Corrected Sep 2024
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
F
August 20, 2024
Tag F0880
Complaint investigation
Corrected Sep 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
G
July 8, 2024
Tag F0760
Complaint investigation
Corrected Jul 2024
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Actual harm to a resident
D
May 21, 2024
Tag F0761
Corrected Jun 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
May 21, 2024
Tag F0759
Corrected Jun 2024
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
No actual harm, potential for more than minimal harm
D
May 21, 2024
Tag F0758
Corrected Jun 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
May 21, 2024
Tag F0695
Corrected Jun 2024
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 21, 2024
Tag F0686
Corrected Jul 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
D
May 21, 2024
Tag F0684
Corrected Jun 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
May 21, 2024
Tag F0641
Corrected Jun 2024
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
E
May 21, 2024
Tag F0909
Corrected Jun 2024
Environmental Deficiencies
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
No actual harm, potential for more than minimal harm
E
May 21, 2024
Tag F0883
Corrected Jun 2024
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
E
May 21, 2024
Tag F0700
Corrected Jun 2024
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
No actual harm, potential for more than minimal harm
F
May 21, 2024
Tag F0801
Corrected Jun 2024
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
No actual harm, potential for more than minimal harm
G
May 21, 2024
Tag F0689
Corrected Jun 2024
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
December 26, 2023
Tag F0689
Complaint investigation
Corrected Jan 2024
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
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.