D
August 20, 2024
Tag F0772
Corrected Sep 2024
Administration Deficiencies
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.
No actual harm, potential for more than minimal harm
D
August 20, 2024
Tag F0641
Corrected Sep 2024
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
E
August 20, 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
E
August 20, 2024
Tag F0812
Complaint investigation
Corrected Sep 2024
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
E
August 20, 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
E
August 20, 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
E
August 20, 2024
Tag F0727
Corrected Sep 2024
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
No actual harm, potential for more than minimal harm
E
August 20, 2024
Tag F0657
Corrected Sep 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
E
August 20, 2024
Tag F0610
Complaint investigation
Corrected Sep 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
E
August 20, 2024
Tag F0609
Complaint investigation
Corrected Sep 2024
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 20, 2024
Tag F0577
Corrected Sep 2024
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
No actual harm, potential for more than minimal harm
E
August 20, 2024
Tag F0574
Corrected Sep 2024
Resident Rights Deficiencies
The resident has the right to receive notices in a format and a language he or she understands.
No actual harm, potential for more than minimal harm
E
August 20, 2024
Tag F0550
Corrected Sep 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
J
August 20, 2024
Tag F0600
Complaint investigation
Corrected Sep 2024
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.
Immediate jeopardy to resident health or safety
D
July 18, 2023
Tag F0758
Corrected Aug 2023
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
July 18, 2023
Tag F0756
Corrected Aug 2023
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
July 18, 2023
Tag F0689
Corrected Aug 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.
No actual harm, potential for more than minimal harm
D
July 18, 2023
Tag F0644
Corrected Aug 2023
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
July 18, 2023
Tag F0578
Corrected Aug 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
July 18, 2023
Tag F0925
Corrected Aug 2023
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
No actual harm, potential for more than minimal harm
E
July 18, 2023
Tag F0759
Corrected Aug 2023
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
No actual harm, potential for more than minimal harm
E
July 18, 2023
Tag F0700
Corrected Aug 2023
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
E
July 18, 2023
Tag F0657
Corrected Aug 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
F
July 18, 2023
Tag F0812
Corrected Aug 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
March 29, 2022
Tag F0756
Corrected Apr 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
E
March 29, 2022
Tag F0812
Corrected Apr 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
E
March 29, 2022
Tag F0578
Corrected Apr 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
G
March 29, 2022
Tag F0770
Corrected Apr 2022
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Actual harm to a resident
G
March 29, 2022
Tag F0695
Corrected Apr 2022
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Actual harm to a resident
G
March 29, 2022
Tag F0580
Corrected Apr 2022
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.