| May 12, 2026 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 2, 2026 | Complaint |
| Jan 13, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 30, 2026 | Complaint |
| Jan 13, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 30, 2026 | Complaint |
| Dec 17, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | E · Potential harm Pattern | Corrected Jan 16, 2026 | |
| Dec 17, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | F · Potential harm Widespread | Corrected Jan 16, 2026 | |
| Dec 17, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | E · Potential harm Pattern | Corrected Jan 16, 2026 | |
| Dec 17, 2025 | K-0351 | Install an approved automatic sprinkler system. | D · Potential harm Isolated | Corrected Jan 16, 2026 | |
| Dec 17, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. | E · Potential harm Pattern | Corrected Jan 16, 2026 | |
| Dec 17, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 16, 2026 | |
| Dec 17, 2025 | K-0920 | Ensure proper usage of power strips and extension cords.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 16, 2026 | |
| Dec 17, 2025 | K-0923 | Have proper medical gas storage and administration areas.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 16, 2026 | |
| Dec 17, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 13, 2026 | |
| Dec 17, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 13, 2026 | |
| Dec 17, 2025 | F-0761 | 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.Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 13, 2026 | |
| Dec 17, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 13, 2026 | |
| Dec 17, 2025 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Corrected Jan 13, 2026 | |
| Aug 28, 2025 | F-0688 | 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.Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 23, 2025 | Complaint |
| Aug 28, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 23, 2025 | Complaint |
| Aug 28, 2025 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 23, 2025 | Complaint |
| Aug 20, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 20, 2025 | Complaint |
| May 28, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 17, 2025 | Complaint |
| May 16, 2025 | F-0627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 23, 2025 | Complaint |
| Feb 12, 2025 | F-0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Mar 5, 2025 | Complaint |
| Feb 3, 2025 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 14, 2025 | Complaint |
| Nov 15, 2024 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | D · Potential harm Isolated | Corrected Nov 14, 2024 | |
| Nov 15, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | D · Potential harm Isolated | Corrected Nov 18, 2024 | |
| Nov 15, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. | D · Potential harm Isolated | Corrected Nov 15, 2024 | |
| Nov 15, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 8, 2024 | |
| Nov 15, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 8, 2024 | |
| Nov 15, 2024 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 8, 2024 | |
| Nov 15, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services.Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Dec 8, 2024 | |
| Nov 15, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 8, 2024 | |
| Nov 15, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Dec 8, 2024 | |
| Nov 15, 2024 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Dec 8, 2024 | |
| Nov 15, 2024 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Environmental Deficiencies · Environment & life safety | B · Minimal Pattern | Waiver granted Dec 8, 2024 | |
| Sep 19, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 27, 2024 | Complaint |
| Sep 19, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 27, 2024 | Complaint |
| Sep 19, 2024 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 27, 2024 | Complaint |
| Jul 30, 2024 | F-0726 | 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.Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Aug 20, 2024 | Complaint |
| Jul 30, 2024 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 20, 2024 | Complaint |
| Apr 23, 2024 | F-0726 | 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.Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 16, 2024 | Complaint |
| Apr 23, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 16, 2024 | Complaint |
| Apr 9, 2024 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 22, 2024 | Complaint |
| Jan 12, 2024 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 31, 2024 | Complaint |
| Nov 16, 2023 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 12, 2024 | Complaint |
| Nov 16, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | E · Potential harm Pattern | Corrected Dec 15, 2023 | |
| Nov 16, 2023 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | D · Potential harm Isolated | Corrected Dec 14, 2023 | |
| Nov 16, 2023 | K-0500 | Meet other general requirements that are deficient. | D · Potential harm Isolated | Corrected Dec 15, 2023 | |
| Nov 16, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | F · Potential harm Widespread | Corrected Dec 15, 2023 | |
| Nov 16, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 12, 2024 | |
| Nov 16, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 12, 2024 | |
| Nov 16, 2023 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 12, 2024 | |
| Nov 16, 2023 | F-0693 | 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.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 12, 2024 | |
| Nov 16, 2023 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 12, 2024 | |
| Nov 16, 2023 | F-0758 | 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.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 12, 2024 | |
| Nov 16, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 12, 2024 | |
| Nov 16, 2023 | F-0761 | 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.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 12, 2024 | |
| Nov 16, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jan 12, 2024 | |
| Nov 16, 2023 | F-0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Waiver granted Jan 12, 2024 | |
| Nov 16, 2023 | E-0009 | Include a process for Emergency Preparedness collaboration.Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Dec 17, 2023 | |
| Nov 16, 2023 | E-0034 | Provide a means of sharing information on occupancy/needs.Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Dec 15, 2023 | |
| Nov 16, 2023 | E-0041 | Implement emergency and standby power systems.Emergency Preparedness Deficiencies · Emergency preparedness | C · Minimal Widespread | Corrected Dec 17, 2023 | |