| Jul 9, 2026 | F-0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies · Medication management | J · Immediate jeopardy Isolated | Corrected Jul 7, 2026 | ComplaintIDR |
| Jul 9, 2026 | 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 Jul 13, 2026 | ComplaintIDR |
| Jul 9, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | D · Potential harm Isolated | Corrected Aug 6, 2026 | |
| Jul 9, 2026 | K-0351 | Install an approved automatic sprinkler system. | D · Potential harm Isolated | Corrected Aug 6, 2026 | |
| Jul 9, 2026 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals.Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 6, 2026 | |
| Jul 9, 2026 | K-0923 | Have proper medical gas storage and administration areas.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 6, 2026 | |
| Jul 9, 2026 | 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 Jul 13, 2026 | ComplaintIDR |
| Jul 9, 2026 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 13, 2026 | IDR |
| Jul 9, 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 Jul 13, 2026 | Complaint |
| Jul 9, 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 Jul 13, 2026 | IDR |
| Jul 9, 2026 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 13, 2026 | IDR |
| Jul 9, 2026 | F-0679 | Provide activities to meet all resident's needs.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 13, 2026 | IDR |
| Jul 9, 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 Jul 13, 2026 | ComplaintIDR |
| Jul 9, 2026 | 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 | D · Potential harm Isolated | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | 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 Jul 13, 2026 | IDR |
| Jul 9, 2026 | 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 Jul 13, 2026 | |
| Jul 9, 2026 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 13, 2026 | IDR |
| Jul 9, 2026 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 13, 2026 | IDR |
| Jul 9, 2026 | F-0887 | 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.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | F-0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | F-0584 | 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.Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | F-0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | F-0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | F-0645 | PASARR screening for Mental disorders or Intellectual DisabilitiesResident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | 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 | C · Minimal Widespread | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | 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 | B · Minimal Pattern | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | F-0814 | Dispose of garbage and refuse properly.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | C · Minimal Widespread | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | F-0881 | Implement a program that monitors antibiotic use.Infection Control Deficiencies · Infection prevention | C · Minimal Widespread | Corrected Jul 13, 2026 | |
| Jul 9, 2026 | F-0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment.Administration Deficiencies · Administration & records | C · Minimal Widespread | Corrected Jul 13, 2026 | |
| Dec 1, 2025 | F-0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Dec 18, 2025 | Complaint |
| Feb 11, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 3, 2025 | Complaint |
| Dec 20, 2024 | E-0037 | Establish staff and initial training requirements.Emergency Preparedness Deficiencies · Emergency preparedness | E · Potential harm Pattern | Corrected Jan 9, 2025 | |
| Dec 20, 2024 | K-0711 | Provide a written emergency evacuation plan.Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 9, 2025 | |
| Dec 20, 2024 | 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 20, 2025 | Complaint |
| Dec 20, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 20, 2025 | Complaint |
| Dec 20, 2024 | F-0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 20, 2025 | |
| Dec 20, 2024 | F-0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 20, 2025 | |
| Dec 20, 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 | E · Potential harm Pattern | Corrected Jan 20, 2025 | |
| Dec 20, 2024 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 20, 2025 | |
| Dec 20, 2024 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Jan 20, 2025 | |
| Dec 20, 2024 | 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 | B · Minimal Pattern | Corrected Jan 20, 2025 | |
| Jun 17, 2024 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 21, 2024 | Complaint |
| Jun 17, 2024 | 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 Aug 21, 2024 | Complaint |
| May 16, 2024 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 5, 2024 | Complaint |
| May 16, 2024 | 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 Jun 5, 2024 | Complaint |
| Jun 23, 2022 | 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 Jul 27, 2022 | |
| Jun 23, 2022 | K-0341 | Install a fire alarm system that can be heard throughout the facility. | D · Potential harm Isolated | Corrected Jul 27, 2022 | |
| Jun 23, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | D · Potential harm Isolated | Corrected Jul 27, 2022 | |
| Jun 23, 2022 | K-0363 | Install corridor and hallway doors that block smoke. | D · Potential harm Isolated | Corrected Jul 27, 2022 | |
| Jun 23, 2022 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | D · Potential harm Isolated | Corrected Jul 27, 2022 | |
| Jun 23, 2022 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | D · Potential harm Isolated | Corrected Jul 27, 2022 | |
| Jun 23, 2022 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | D · Potential harm Isolated | Corrected Jul 27, 2022 | |
| Jun 23, 2022 | K-0712 | Have simulated fire drills held at unexpected times.Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 27, 2022 | |
| Jun 23, 2022 | K-0919 | Meet requirements for the use of electrical equipment.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 27, 2022 | |
| Jun 23, 2022 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 3, 2022 | |
| Jun 23, 2022 | 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 Aug 3, 2022 | |
| Jun 23, 2022 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 3, 2022 | |
| Jun 23, 2022 | 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 Aug 3, 2022 | |
| Jun 23, 2022 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 3, 2022 | |
| Jun 23, 2022 | 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 Aug 3, 2022 | |
| Jun 23, 2022 | F-0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 3, 2022 | |
| Jun 23, 2022 | 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 Aug 3, 2022 | |
| Jun 23, 2022 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 3, 2022 | |
| Jun 23, 2022 | F-0887 | 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.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 3, 2022 | |
| Jun 23, 2022 | F-0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 3, 2022 | |
| Jun 23, 2022 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months.Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Aug 3, 2022 | |