D
September 25, 2025
Tag F0699
Corrected Oct 2025
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
September 25, 2025
Tag F0677
Complaint investigation
Corrected Oct 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
September 25, 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, potential for more than minimal harm
D
September 17, 2024
Tag F0550
Complaint investigation
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
D
June 27, 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 27, 2024
Tag F0689
Complaint investigation
Corrected Jul 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
E
June 27, 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
December 4, 2023
Tag F0773
Corrected Dec 2023
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
December 4, 2023
Tag F0757
Corrected Dec 2023
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
December 4, 2023
Tag F0686
Corrected Dec 2023
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
December 4, 2023
Tag F0677
Corrected Dec 2023
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
December 4, 2023
Tag F0661
Corrected Dec 2023
Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
No actual harm, potential for more than minimal harm
D
December 4, 2023
Tag F0646
Corrected Dec 2023
Resident Assessment and Care Planning Deficiencies
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
No actual harm, potential for more than minimal harm
D
December 4, 2023
Tag F0644
Corrected Dec 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
F
August 10, 2023
Tag F0727
Complaint investigation
Corrected Aug 2023
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
D
October 25, 2021
Tag F0881
Corrected Nov 2021
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
No actual harm, potential for more than minimal harm
D
October 25, 2021
Tag F0759
Corrected Nov 2021
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
No actual harm, potential for more than minimal harm
D
October 25, 2021
Tag F0755
Corrected Nov 2021
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
October 25, 2021
Tag F0689
Corrected Nov 2021
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
October 25, 2021
Tag F0686
Corrected Nov 2021
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
October 25, 2021
Tag F0684
Corrected Nov 2021
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
October 25, 2021
Tag F0677
Corrected Nov 2021
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
October 25, 2021
Tag F0657
Corrected Nov 2021
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
October 25, 2021
Tag F0656
Corrected Nov 2021
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
October 25, 2021
Tag F0655
Corrected Nov 2021
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
D
October 25, 2021
Tag F0644
Corrected Nov 2021
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
October 25, 2021
Tag F0641
Corrected Nov 2021
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
D
October 25, 2021
Tag F0580
Corrected Nov 2021
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.
No actual harm, potential for more than minimal harm
D
October 25, 2021
Tag F0561
Corrected Nov 2021
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
E
October 25, 2021
Tag F0804
Corrected Nov 2021
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
No actual harm, potential for more than minimal harm
E
October 25, 2021
Tag F0695
Corrected Nov 2021
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
F
October 25, 2021
Tag F0880
Corrected Nov 2021
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
G
October 25, 2021
Tag F0758
Corrected Nov 2021
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.
Actual harm to a resident
G
October 25, 2021
Tag F0688
Corrected Nov 2021
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.
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.