D
August 30, 2023
Tag F0699
Corrected Oct 2023
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
No actual harm, potential for more than minimal harm
D
August 30, 2023
Tag F0656
Corrected Oct 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 30, 2023
Tag F0583
Corrected Oct 2023
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
No actual harm, potential for more than minimal harm
D
August 30, 2023
Tag F0558
Corrected Oct 2023
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
No actual harm, potential for more than minimal harm
D
August 30, 2023
Tag F0554
Corrected Oct 2023
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
No actual harm, potential for more than minimal harm
D
August 30, 2023
Tag F0551
Corrected Oct 2023
Resident Rights Deficiencies
Give the resident's representative the ability to exercise the resident's rights.
No actual harm, potential for more than minimal harm
D
August 30, 2023
Tag F0550
Corrected Oct 2023
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
August 30, 2023
Tag F0887
Corrected Oct 2023
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
No actual harm, potential for more than minimal harm
E
August 30, 2023
Tag F0842
Corrected Oct 2023
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
E
August 30, 2023
Tag F0761
Corrected Oct 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
E
August 30, 2023
Tag F0760
Corrected Oct 2023
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
E
August 30, 2023
Tag F0758
Corrected Oct 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
E
August 30, 2023
Tag F0712
Corrected Oct 2023
Nursing and Physician Services Deficiencies
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
No actual harm, potential for more than minimal harm
E
August 30, 2023
Tag F0690
Corrected Oct 2023
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, potential for more than minimal harm
E
August 30, 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.
No actual harm, potential for more than minimal harm
E
August 30, 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
August 30, 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
G
August 30, 2023
Tag F0686
Corrected Oct 2023
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.