D
March 25, 2025
Tag F0677
Complaint investigation
Corrected Apr 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
March 25, 2025
Tag F0676
Complaint investigation
Corrected Apr 2025
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
No actual harm, potential for more than minimal harm
D
June 6, 2024
Tag F0880
Complaint investigation
Corrected Jul 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
D
June 6, 2024
Tag F0842
Complaint investigation
Corrected Jul 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, potential for more than minimal harm
D
June 6, 2024
Tag F0825
Complaint investigation
Corrected Jul 2024
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
No actual harm, potential for more than minimal harm
D
June 6, 2024
Tag F0775
Complaint investigation
Corrected Jul 2024
Administration Deficiencies
Keep complete, dated laboratory records in the resident's record.
No actual harm, potential for more than minimal harm
D
June 6, 2024
Tag F0773
Complaint investigation
Corrected Jul 2024
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
No actual harm, potential for more than minimal harm
D
June 6, 2024
Tag F0770
Complaint investigation
Corrected Jul 2024
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
No actual harm, potential for more than minimal harm
D
June 6, 2024
Tag F0761
Complaint investigation
Corrected Jul 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
June 6, 2024
Tag F0758
Complaint investigation
Corrected Jul 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
June 6, 2024
Tag F0757
Complaint investigation
Corrected Jul 2024
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
June 6, 2024
Tag F0695
Complaint investigation
Corrected Jul 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
June 6, 2024
Tag F0688
Complaint investigation
Corrected Jul 2024
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
No actual harm, potential for more than minimal harm
D
June 6, 2024
Tag F0677
Complaint investigation
Corrected Jul 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
June 6, 2024
Tag F0676
Complaint investigation
Corrected Jul 2024
Quality of Life and Care Deficiencies
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
No actual harm, potential for more than minimal harm
D
June 6, 2024
Tag F0660
Complaint investigation
Corrected Jul 2024
Resident Assessment and Care Planning Deficiencies
Plan the resident's discharge to meet the resident's goals and needs.
No actual harm, potential for more than minimal harm
D
June 6, 2024
Tag F0656
Complaint investigation
Corrected Jul 2024
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
June 6, 2024
Tag F0644
Complaint investigation
Corrected Jul 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
June 6, 2024
Tag F0602
Complaint investigation
Corrected Jul 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
No actual harm, potential for more than minimal harm
D
June 6, 2024
Tag F0584
Complaint investigation
Corrected Jul 2024
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
D
June 6, 2024
Tag F0561
Complaint investigation
Corrected Jul 2024
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
No actual harm, potential for more than minimal harm
D
June 6, 2024
Tag F0554
Complaint investigation
Corrected Jul 2024
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
No actual harm, potential for more than minimal harm
E
June 6, 2024
Tag F0867
Complaint investigation
Corrected Jul 2024
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
No actual harm, potential for more than minimal harm
E
June 6, 2024
Tag F0725
Complaint investigation
Corrected Jul 2024
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
E
June 6, 2024
Tag F0655
Complaint investigation
Corrected Jul 2024
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
E
June 6, 2024
Tag F0610
Complaint investigation
Corrected Jul 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
E
June 6, 2024
Tag F0609
Complaint investigation
Corrected Jul 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
June 6, 2024
Tag F0565
Complaint investigation
Corrected Jul 2024
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
No actual harm, potential for more than minimal harm
E
June 6, 2024
Tag F0558
Complaint investigation
Corrected Jul 2024
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
No actual harm, potential for more than minimal harm
G
June 6, 2024
Tag F0790
Complaint investigation
Corrected Jul 2024
Quality of Life and Care Deficiencies
Provide routine and 24-hour emergency dental care for each resident.
Actual harm to a resident
G
June 6, 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
G
June 6, 2024
Tag F0697
Complaint investigation
Corrected Jul 2024
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Actual harm to a resident
G
June 6, 2024
Tag F0690
Complaint investigation
Corrected Oct 2024
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.
Actual harm to a resident
G
June 6, 2024
Tag F0684
Complaint investigation
Corrected Jul 2024
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Actual harm to a resident
G
June 6, 2024
Tag F0600
Complaint investigation
Corrected Jul 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.
Actual harm to a resident
G
June 6, 2024
Tag F0580
Complaint investigation
Corrected Jul 2024
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
H
June 6, 2024
Tag F0689
Complaint investigation
Corrected Oct 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
D
July 21, 2022
Tag F0761
Corrected Sep 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
July 21, 2022
Tag F0758
Corrected Sep 2022
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 21, 2022
Tag F0657
Corrected Sep 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
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.