D
April 10, 2025
Tag F0947
Corrected Apr 2025
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
No actual harm, potential for more than minimal harm
D
April 10, 2025
Tag F0944
Corrected Apr 2025
Administration Deficiencies
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
No actual harm, potential for more than minimal harm
D
April 10, 2025
Tag F0942
Corrected May 2025
Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
No actual harm, potential for more than minimal harm
D
April 10, 2025
Tag F0941
Corrected May 2025
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
No actual harm, potential for more than minimal harm
D
April 10, 2025
Tag F0887
Corrected May 2025
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
D
April 10, 2025
Tag F0883
Corrected May 2025
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
D
April 10, 2025
Tag F0868
Corrected May 2025
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
No actual harm, potential for more than minimal harm
D
April 10, 2025
Tag F0756
Corrected May 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
April 10, 2025
Tag F0755
Complaint investigation
Corrected May 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
April 10, 2025
Tag F0732
Corrected May 2025
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
No actual harm, potential for more than minimal harm
D
April 10, 2025
Tag F0695
Corrected May 2025
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
April 10, 2025
Tag F0660
Complaint investigation
Corrected May 2025
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
April 10, 2025
Tag F0658
Corrected May 2025
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
D
April 10, 2025
Tag F0625
Corrected May 2025
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
No actual harm, potential for more than minimal harm
D
April 10, 2025
Tag F0623
Corrected May 2025
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
No actual harm, potential for more than minimal harm
D
April 10, 2025
Tag F0607
Corrected May 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
No actual harm, potential for more than minimal harm
E
April 10, 2025
Tag F0919
Corrected May 2025
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
No actual harm, potential for more than minimal harm
E
April 10, 2025
Tag F0758
Corrected May 2025
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
April 10, 2025
Tag F0730
Corrected May 2025
Nursing and Physician Services Deficiencies
Observe each nurse aide's job performance and give regular training.
No actual harm, potential for more than minimal harm
E
April 10, 2025
Tag F0725
Complaint investigation
Corrected May 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
F
April 10, 2025
Tag F0835
Corrected Jun 2025
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
No actual harm, potential for more than minimal harm
F
April 10, 2025
Tag F0812
Corrected May 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
F
April 10, 2025
Tag F0584
Complaint investigation
Corrected Jun 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
D
December 8, 2023
Tag F0880
Corrected Dec 2023
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
D
December 8, 2023
Tag F0755
Complaint investigation
Corrected Dec 2023
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
December 8, 2023
Tag F0712
Corrected Dec 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
D
December 8, 2023
Tag F0658
Complaint investigation
Corrected Dec 2023
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
D
December 8, 2023
Tag F0657
Corrected Dec 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
D
December 8, 2023
Tag F0656
Corrected Dec 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
December 8, 2023
Tag F0641
Corrected Dec 2023
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
D
December 8, 2023
Tag F0584
Corrected Dec 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
D
December 8, 2023
Tag F0578
Corrected Dec 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
C
March 11, 2022
Tag F0885
Corrected Apr 2022
Infection Control Deficiencies
Report COVID19 data to residents and families.
No actual harm, minimal potential
D
March 11, 2022
Tag F0882
Corrected Apr 2022
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
No actual harm, potential for more than minimal harm
D
March 11, 2022
Tag F0732
Corrected Apr 2022
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
No actual harm, potential for more than minimal harm
D
March 11, 2022
Tag F0686
Corrected Apr 2022
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
March 11, 2022
Tag F0658
Corrected Apr 2022
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
D
March 11, 2022
Tag F0625
Corrected Apr 2022
Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
No actual harm, potential for more than minimal harm
D
March 11, 2022
Tag F0623
Corrected Apr 2022
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
No actual harm, potential for more than minimal harm
D
March 11, 2022
Tag F0563
Corrected Apr 2022
Resident Rights Deficiencies
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
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.