D
March 13, 2026
Tag F0689
Complaint investigation
Corrected Mar 2026
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
G
March 13, 2026
Tag F0686
Complaint investigation
Corrected Mar 2026
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Actual harm to a resident
G
November 17, 2025
Tag F0686
Complaint investigation
Corrected Dec 2025
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Actual harm to a resident
D
August 27, 2025
Tag F0689
Complaint investigation
Corrected Sep 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.
No actual harm, potential for more than minimal harm
F
August 27, 2025
Tag F0940
Complaint investigation
Corrected Sep 2025
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
No actual harm, potential for more than minimal harm
C
April 30, 2025
Tag F0851
Corrected May 2025
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, minimal potential
C
April 30, 2025
Tag F0725
Corrected May 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, minimal potential
D
April 30, 2025
Tag F0881
Corrected May 2025
Infection Control Deficiencies
Implement a program that monitors antibiotic use.
No actual harm, potential for more than minimal harm
D
April 30, 2025
Tag F0740
Corrected May 2025
Quality of Life and Care Deficiencies
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
No actual harm, potential for more than minimal harm
D
April 30, 2025
Tag F0689
Corrected May 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.
No actual harm, potential for more than minimal harm
D
April 30, 2025
Tag F0686
Corrected May 2025
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
April 30, 2025
Tag F0684
Corrected May 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
D
April 30, 2025
Tag F0677
Corrected May 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
April 30, 2025
Tag F0644
Corrected May 2025
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
E
April 30, 2025
Tag F0947
Corrected May 2025
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
No actual harm, potential for more than minimal harm
E
April 30, 2025
Tag F0921
Complaint investigation
Corrected May 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
No actual harm, potential for more than minimal harm
E
April 30, 2025
Tag F0761
Corrected May 2025
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
April 30, 2025
Tag F0755
Corrected May 2025
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
G
April 30, 2025
Tag F0692
Corrected May 2025
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Actual harm to a resident
J
April 23, 2025
Tag F0689
Complaint investigation
Corrected Apr 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.
Immediate jeopardy to resident health or safety
D
March 13, 2025
Tag F0550
Complaint investigation
Corrected Mar 2025
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
November 7, 2024
Tag F0655
Complaint investigation
Corrected Nov 2024
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
November 7, 2024
Tag F0600
Complaint investigation
Corrected Nov 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.
No actual harm, potential for more than minimal harm
G
August 11, 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
June 28, 2024
Tag F0677
Complaint investigation
Corrected Jul 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
D
June 28, 2024
Tag F0558
Complaint investigation
Corrected Jul 2024
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
No actual harm, potential for more than minimal harm
G
June 28, 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.
Actual harm to a resident
D
April 26, 2024
Tag F0880
Corrected May 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
D
April 26, 2024
Tag F0693
Corrected May 2024
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.
No actual harm, potential for more than minimal harm
D
April 26, 2024
Tag F0684
Corrected May 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
April 26, 2024
Tag F0677
Complaint investigation
Corrected May 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
April 26, 2024
Tag F0550
Corrected May 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
F
April 26, 2024
Tag F0761
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
C
February 9, 2024
Tag F0553
Complaint investigation
Corrected Mar 2024
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
No actual harm, minimal potential
D
February 9, 2024
Tag F0689
Complaint investigation
Corrected Mar 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
February 9, 2024
Tag F0686
Complaint investigation
Corrected Mar 2024
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
February 9, 2024
Tag F0677
Complaint investigation
Corrected Mar 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
D
February 9, 2024
Tag F0580
Complaint investigation
Corrected Mar 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
G
February 9, 2024
Tag F0684
Complaint investigation
Corrected Mar 2024
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Actual harm to a resident
G
February 9, 2024
Tag F0600
Complaint investigation
Corrected Mar 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.
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.