D
July 4, 2025
Tag F0677
Complaint investigation
Corrected Aug 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
July 4, 2025
Tag F0585
Corrected Aug 2025
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
D
January 17, 2025
Tag F0880
Complaint investigation
Corrected Feb 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
D
February 9, 2024
Tag F0657
Complaint investigation
Corrected Mar 2024
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
February 9, 2024
Tag F0880
Corrected Mar 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
D
February 9, 2024
Tag F0761
Corrected Mar 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
February 9, 2024
Tag F0692
Corrected Mar 2024
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
No actual harm, potential for more than minimal harm
D
February 9, 2024
Tag F0684
Corrected Mar 2024
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
February 9, 2024
Tag F0656
Corrected Mar 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
February 9, 2024
Tag F0558
Corrected Mar 2024
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
No actual harm, potential for more than minimal harm
D
April 3, 2021
Tag F0759
Corrected May 2021
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
No actual harm, potential for more than minimal harm
D
April 3, 2021
Tag F0677
Corrected May 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
April 3, 2021
Tag F0609
Corrected May 2021
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
D
April 3, 2021
Tag F0583
Corrected May 2021
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
No actual harm, potential for more than minimal harm
D
April 3, 2021
Tag F0553
Corrected May 2021
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
No actual harm, potential for more than minimal harm
E
April 3, 2021
Tag F0641
Corrected May 2021
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
No actual harm, potential for more than minimal harm
E
April 3, 2021
Tag F0585
Corrected May 2021
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
F
April 3, 2021
Tag F0880
Corrected May 2021
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
F
April 3, 2021
Tag F0812
Corrected May 2021
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 3, 2021
Tag F0761
Corrected May 2021
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
F
April 3, 2021
Tag F0606
Corrected May 2021
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
No actual harm, potential for more than minimal harm
F
April 3, 2021
Tag F0584
Corrected May 2021
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
April 3, 2021
Tag F0710
Corrected May 2021
Nursing and Physician Services Deficiencies
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Actual harm to a resident
G
April 3, 2021
Tag F0558
Corrected May 2021
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Actual harm to a resident
G
April 3, 2021
Tag F0550
Corrected May 2021
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Actual harm to a resident
J
April 3, 2021
Tag F0693
Corrected May 2021
Quality of Life and Care Deficiencies
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Immediate jeopardy to resident health or safety
J
April 3, 2021
Tag F0692
Corrected May 2021
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Immediate jeopardy to resident health or safety
J
April 3, 2021
Tag F0689
Corrected May 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.
Immediate jeopardy to resident health or safety
K
April 3, 2021
Tag F0755
Corrected May 2021
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Immediate jeopardy to resident health or safety
K
April 3, 2021
Tag F0656
Corrected May 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.
Immediate jeopardy to resident health or safety
L
April 3, 2021
Tag F0865
Corrected May 2021
Administration Deficiencies
Have a plan that describes the process for conducting QAPI and QAA activities.
Immediate jeopardy to resident health or safety
L
April 3, 2021
Tag F0837
Corrected May 2021
Administration Deficiencies
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Immediate jeopardy to resident health or safety
L
April 3, 2021
Tag F0835
Corrected May 2021
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Immediate jeopardy to resident health or safety
L
April 3, 2021
Tag F0726
Corrected May 2021
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Immediate jeopardy to resident health or safety
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.