D
November 15, 2024
Tag F0842
Complaint investigation
Corrected Dec 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
November 15, 2024
Tag F0758
Corrected Dec 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
November 15, 2024
Tag F0756
Corrected Dec 2024
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
November 15, 2024
Tag F0690
Corrected Dec 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.
No actual harm, potential for more than minimal harm
E
November 15, 2024
Tag F0880
Corrected Dec 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
E
November 15, 2024
Tag F0658
Complaint investigation
Corrected Dec 2024
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
E
November 15, 2024
Tag F0656
Corrected Dec 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
E
November 15, 2024
Tag F0565
Complaint investigation
Corrected Dec 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
F
November 15, 2024
Tag F0943
Complaint investigation
Corrected Dec 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
No actual harm, potential for more than minimal harm
F
November 15, 2024
Tag F0812
Corrected Dec 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
G
November 15, 2024
Tag F0689
Complaint investigation
Corrected Dec 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
J
November 15, 2024
Tag F0610
Complaint investigation
Corrected Dec 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Immediate jeopardy to resident health or safety
J
November 15, 2024
Tag F0609
Complaint investigation
Corrected Dec 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.
Immediate jeopardy to resident health or safety
J
November 15, 2024
Tag F0600
Complaint investigation
Corrected Dec 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
March 15, 2023
Tag F0756
Corrected Mar 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
E
March 15, 2023
Tag F0712
Corrected Mar 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
March 15, 2023
Tag F0585
Corrected Mar 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
C
June 17, 2021
Tag F0868
Corrected Jul 2021
Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
No actual harm, minimal potential
D
June 17, 2021
Tag F0770
Corrected Jul 2021
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 17, 2021
Tag F0690
Corrected Jul 2021
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
D
June 17, 2021
Tag F0656
Corrected Jul 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
E
June 17, 2021
Tag F0842
Corrected Jul 2021
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
June 17, 2021
Tag F0758
Corrected Jul 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.
No actual harm, potential for more than minimal harm
E
June 17, 2021
Tag F0756
Corrected Jul 2021
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
June 17, 2021
Tag F0712
Corrected Jul 2021
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
G
June 17, 2021
Tag F0697
Corrected Jul 2021
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 17, 2021
Tag F0689
Corrected Jul 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.
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.