D
November 21, 2023
Tag F0656
Complaint investigation
Corrected Jan 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
G
November 21, 2023
Tag F0689
Complaint investigation
Corrected Nov 2023
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 29, 2023
Tag F0945
Corrected Aug 2023
Infection Control Deficiencies
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
No actual harm, potential for more than minimal harm
D
June 29, 2023
Tag F0943
Corrected Aug 2023
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
D
June 29, 2023
Tag F0942
Corrected Aug 2023
Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
No actual harm, potential for more than minimal harm
D
June 29, 2023
Tag F0887
Corrected Aug 2023
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
No actual harm, potential for more than minimal harm
D
June 29, 2023
Tag F0883
Corrected Aug 2023
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
D
June 29, 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 29, 2023
Tag F0677
Corrected Aug 2023
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 29, 2023
Tag F0658
Corrected Aug 2023
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
June 29, 2023
Tag F0700
Corrected Aug 2023
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
No actual harm, potential for more than minimal harm
F
June 29, 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
G
June 29, 2023
Tag F0600
Corrected Aug 2023
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
J
June 29, 2023
Tag F0678
Corrected Sep 2022
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Immediate jeopardy to resident health or safety
J
June 29, 2023
Tag F0580
Corrected Jul 2022
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.
Immediate jeopardy to resident health or safety
D
April 15, 2021
Tag F0758
Corrected May 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
D
April 15, 2021
Tag F0740
Corrected May 2021
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 15, 2021
Tag F0679
Corrected May 2021
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
No actual harm, potential for more than minimal harm
D
April 15, 2021
Tag F0657
Corrected May 2021
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
April 15, 2021
Tag F0558
Corrected May 2021
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
No actual harm, potential for more than minimal harm
D
April 15, 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.
No actual harm, potential for more than minimal harm
E
April 15, 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
B
August 16, 2018
Tag F0640
Corrected Aug 2018
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
No actual harm, minimal potential
D
August 16, 2018
Tag F0656
Corrected Aug 2018
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
August 16, 2018
Tag F0645
Corrected Aug 2018
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
No actual harm, potential for more than minimal harm
E
August 16, 2018
Tag F0695
Corrected Aug 2018
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
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.