D
February 6, 2026
Tag F0578
Complaint investigation
Corrected Feb 2026
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
B
September 15, 2025
Tag F0842
Corrected Oct 2025
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, minimal potential
B
September 15, 2025
Tag F0814
Corrected Oct 2025
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
No actual harm, minimal potential
B
September 15, 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, minimal potential
B
September 15, 2025
Tag F0690
Corrected Oct 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
No actual harm, minimal potential
B
September 15, 2025
Tag F0657
Corrected Oct 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, minimal potential
B
September 15, 2025
Tag F0656
Corrected Oct 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, minimal potential
B
September 15, 2025
Tag F0645
Corrected Oct 2025
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
No actual harm, minimal potential
B
September 15, 2025
Tag F0637
Corrected Oct 2025
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
No actual harm, minimal potential
B
September 15, 2025
Tag F0628
Corrected Oct 2025
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
No actual harm, minimal potential
B
September 15, 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, minimal potential
D
September 15, 2025
Tag F0909
Corrected Oct 2025
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
D
September 15, 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
D
September 15, 2025
Tag F0813
Corrected Oct 2025
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
No actual harm, potential for more than minimal harm
D
September 15, 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
D
September 15, 2025
Tag F0759
Corrected Oct 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
No actual harm, potential for more than minimal harm
D
September 15, 2025
Tag F0757
Corrected Oct 2025
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
No actual harm, potential for more than minimal harm
D
September 15, 2025
Tag F0756
Corrected Oct 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
September 15, 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
September 15, 2025
Tag F0700
Corrected Oct 2025
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
D
September 15, 2025
Tag F0693
Corrected Oct 2025
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
No actual harm, potential for more than minimal harm
D
September 15, 2025
Tag F0685
Corrected Oct 2025
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
No actual harm, potential for more than minimal harm
D
September 15, 2025
Tag F0684
Corrected Oct 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
September 15, 2025
Tag F0610
Corrected Oct 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
D
September 15, 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
September 15, 2025
Tag F0554
Corrected Oct 2025
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
No actual harm, potential for more than minimal harm
E
September 15, 2025
Tag F0689
Corrected Oct 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
November 1, 2024
Tag F0689
Complaint investigation
Corrected Nov 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.
No actual harm, potential for more than minimal harm
B
August 29, 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, minimal potential
D
August 29, 2024
Tag F0908
Corrected Sep 2024
Environmental Deficiencies
Keep all essential equipment working safely.
No actual harm, potential for more than minimal harm
D
August 29, 2024
Tag F0880
Corrected Sep 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
D
August 29, 2024
Tag F0761
Corrected Sep 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
August 29, 2024
Tag F0760
Corrected Sep 2024
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
D
August 29, 2024
Tag F0759
Corrected Sep 2024
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
No actual harm, potential for more than minimal harm
D
August 29, 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
D
August 29, 2024
Tag F0755
Corrected Sep 2024
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 29, 2024
Tag F0732
Corrected Sep 2024
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
No actual harm, potential for more than minimal harm
D
August 29, 2024
Tag F0695
Corrected Sep 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
August 29, 2024
Tag F0644
Corrected Sep 2024
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
No actual harm, potential for more than minimal harm
D
August 29, 2024
Tag F0578
Corrected Sep 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
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.