E
August 13, 2025
Tag F0757
Complaint investigation
Corrected Aug 2025
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
No actual harm, potential for more than minimal harm
F
May 15, 2025
Tag F0841
Complaint investigation
Corrected Jun 2025
Nursing and Physician Services Deficiencies
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
No actual harm, potential for more than minimal harm
F
May 15, 2025
Tag F0725
Complaint investigation
Corrected Jun 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
G
May 15, 2025
Tag F0710
Complaint investigation
Corrected Jun 2025
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
May 15, 2025
Tag F0697
Complaint investigation
Corrected Jun 2025
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Actual harm to a resident
D
July 10, 2024
Tag F0644
Corrected Sep 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
July 10, 2024
Tag F0558
Corrected Sep 2024
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
No actual harm, potential for more than minimal harm
E
July 10, 2024
Tag F0880
Corrected Sep 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
E
July 10, 2024
Tag F0809
Complaint investigation
Corrected Sep 2024
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
No actual harm, potential for more than minimal harm
E
July 10, 2024
Tag F0695
Corrected Sep 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
E
July 10, 2024
Tag F0692
Corrected Sep 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
E
July 10, 2024
Tag F0690
Corrected Sep 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
July 10, 2024
Tag F0684
Corrected Sep 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
E
July 10, 2024
Tag F0677
Complaint investigation
Corrected Sep 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
E
July 10, 2024
Tag F0657
Corrected Sep 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
E
July 10, 2024
Tag F0656
Corrected Sep 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
July 10, 2024
Tag F0580
Complaint investigation
Corrected Sep 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.
No actual harm, potential for more than minimal harm
E
July 10, 2024
Tag F0578
Corrected Sep 2024
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
E
July 10, 2024
Tag F0570
Corrected Sep 2024
Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
No actual harm, potential for more than minimal harm
E
July 10, 2024
Tag F0569
Corrected Sep 2024
Resident Rights Deficiencies
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
No actual harm, potential for more than minimal harm
E
July 10, 2024
Tag F0568
Corrected Sep 2024
Resident Rights Deficiencies
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
No actual harm, potential for more than minimal harm
E
July 10, 2024
Tag F0567
Corrected Sep 2024
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
No actual harm, potential for more than minimal harm
E
July 10, 2024
Tag F0550
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
E
June 26, 2024
Tag F0610
Complaint investigation
Corrected Aug 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
D
March 7, 2024
Tag F0732
Complaint investigation
Corrected May 2024
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
No actual harm, potential for more than minimal harm
E
March 7, 2024
Tag F0761
Complaint investigation
Corrected May 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
E
March 7, 2024
Tag F0689
Complaint investigation
Corrected May 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
D
November 13, 2023
Tag F0604
Complaint investigation
Corrected Jan 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
No actual harm, potential for more than minimal harm
E
November 13, 2023
Tag F0610
Complaint investigation
Corrected Jan 2024
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
No actual harm, potential for more than minimal harm
F
November 13, 2023
Tag F0851
Complaint investigation
Corrected Jan 2024
Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
No actual harm, potential for more than minimal harm
F
November 13, 2023
Tag F0802
Complaint investigation
Corrected Jan 2024
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
No actual harm, potential for more than minimal harm
D
June 28, 2023
Tag F0770
Corrected Aug 2023
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 28, 2023
Tag F0761
Corrected Aug 2023
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 28, 2023
Tag F0758
Corrected Aug 2023
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 28, 2023
Tag F0661
Corrected Aug 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
June 28, 2023
Tag F0656
Corrected Aug 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
June 28, 2023
Tag F0637
Corrected Aug 2023
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
No actual harm, potential for more than minimal harm
D
June 28, 2023
Tag F0584
Corrected Aug 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
E
June 28, 2023
Tag F0881
Corrected Aug 2023
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
No actual harm, potential for more than minimal harm
E
June 28, 2023
Tag F0812
Corrected Aug 2023
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
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.