| Aug 4, 2025 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate.Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 26, 2025 | IDR |
| Aug 4, 2025 | F-0578 | 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.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 26, 2025 | IDR |
| Aug 4, 2025 | 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 Sep 26, 2025 | IDR |
| Aug 4, 2025 | F-0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Sep 26, 2025 | IDR |
| Aug 4, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 26, 2025 | |
| Aug 4, 2025 | 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 | E · Potential harm Pattern | Corrected Sep 26, 2025 | IDR |
| Aug 4, 2025 | 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 Sep 26, 2025 | |
| Aug 4, 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 Sep 26, 2025 | |
| Aug 4, 2025 | 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 26, 2025 | |
| Aug 4, 2025 | 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 | E · Potential harm Pattern | Corrected Sep 26, 2025 | |
| Aug 4, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 26, 2025 | IDR |
| Aug 4, 2025 | 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 Sep 26, 2025 | IDR |
| Aug 4, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Sep 26, 2025 | IDR |
| Aug 4, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Sep 26, 2025 | |
| Aug 4, 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 | D · Potential harm Isolated | Corrected Sep 26, 2025 | |
| Aug 4, 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 Sep 26, 2025 | |
| Aug 4, 2025 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected Sep 26, 2025 | IDR |
| Aug 4, 2025 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 26, 2025 | |
| Aug 4, 2025 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Resident Rights Deficiencies · Resident rights & abuse/neglect | B · Minimal Pattern | Corrected Sep 26, 2025 | |
| Aug 4, 2025 | 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 | B · Minimal Pattern | Corrected Sep 26, 2025 | |
| Aug 4, 2025 | F-0637 | Assess the resident when there is a significant change in conditionResident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Sep 26, 2025 | |
| Jun 16, 2025 | 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 | D · Potential harm Isolated | Corrected Jul 18, 2025 | Complaint |
| Jun 16, 2025 | 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 | C · Minimal Widespread | Corrected Jul 18, 2025 | Complaint |
| Feb 14, 2025 | 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 Mar 14, 2025 | Complaint |
| Feb 14, 2025 | 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 Mar 14, 2025 | Complaint |
| Jan 14, 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 | J · Immediate jeopardy Isolated | Corrected Jan 14, 2025 | Complaint |
| Jan 14, 2025 | 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 | Past non-compliance Nov 20, 2024 | Complaint |
| Jan 14, 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 | Past non-compliance Nov 20, 2024 | Complaint |
| Jan 14, 2025 | 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 | D · Potential harm Isolated | Corrected Jan 14, 2025 | Complaint |
| Jan 14, 2025 | 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 Jan 14, 2025 | Complaint |
| Jan 14, 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 Jan 14, 2025 | Complaint |
| Sep 29, 2023 | E-0037 | Establish staff and initial training requirements.Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | 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 Dec 5, 2023 | |
| Sep 29, 2023 | K-0324 | Provide properly protected cooking facilities. | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | K-0347 | Properly provide smoke detection systems in areas open to corridors. | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | K-0351 | Install an approved automatic sprinkler system. | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | K-0700 | Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | K-0711 | Provide a written emergency evacuation plan.Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | K-0712 | Have simulated fire drills held at unexpected times.Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals.Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Sep 29, 2023 | F-0578 | 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.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 10, 2023 | |
| Sep 29, 2023 | 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 | D · Potential harm Isolated | Corrected Nov 10, 2023 | |
| Sep 29, 2023 | 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 Nov 10, 2023 | |
| Sep 29, 2023 | 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 | D · Potential harm Isolated | Corrected Nov 10, 2023 | |
| Sep 29, 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 | D · Potential harm Isolated | Corrected Nov 10, 2023 | |
| Sep 29, 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 Nov 10, 2023 | |
| Sep 29, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 10, 2023 | |
| Sep 29, 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 Nov 10, 2023 | |
| Sep 29, 2023 | F-0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Nov 10, 2023 | |
| Sep 29, 2023 | 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 Nov 10, 2023 | |
| Sep 7, 2021 | 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 Oct 14, 2021 | |
| Sep 7, 2021 | 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 Oct 14, 2021 | |
| Sep 7, 2021 | 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 Oct 14, 2021 | |