G
April 27, 2026
Tag F0689
Complaint investigation
Corrected Dec 2025
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
D
December 20, 2024
Tag F0842
Complaint investigation
Corrected Jan 2025
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
December 20, 2024
Tag F0684
Complaint investigation
Corrected Jan 2025
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
December 20, 2024
Tag F0730
Complaint investigation
Corrected Jan 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
G
December 20, 2024
Tag F0689
Complaint investigation
Corrected Aug 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
D
May 17, 2024
Tag F0557
Complaint investigation
Corrected Feb 2024
Resident Rights Deficiencies
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
No actual harm, potential for more than minimal harm
D
October 5, 2023
Tag F0842
Complaint investigation
Corrected Nov 2023
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
October 5, 2023
Tag F0695
Complaint investigation
Corrected Nov 2023
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
October 5, 2023
Tag F0636
Complaint investigation
Corrected Nov 2023
Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
No actual harm, potential for more than minimal harm
D
October 5, 2023
Tag F0580
Complaint investigation
Corrected Nov 2023
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 5, 2023
Tag F0578
Complaint investigation
Corrected Nov 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
E
October 5, 2023
Tag F0584
Complaint investigation
Corrected Nov 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
July 15, 2022
Tag F0791
Corrected Aug 2022
Quality of Life and Care Deficiencies
Provide or obtain dental services for each resident.
No actual harm, potential for more than minimal harm
D
July 15, 2022
Tag F0758
Corrected Aug 2022
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
July 15, 2022
Tag F0756
Corrected Aug 2022
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
July 15, 2022
Tag F0695
Corrected Aug 2022
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
July 15, 2022
Tag F0686
Corrected Aug 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
July 15, 2022
Tag F0684
Corrected Aug 2022
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
July 15, 2022
Tag F0677
Corrected Aug 2022
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 15, 2022
Tag F0578
Corrected Aug 2022
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
G
July 15, 2022
Tag F0688
Corrected Aug 2022
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.