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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G10 | H· | I· |
| Potential harm | D42 | E43 | F19 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 18, 2026 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Aug 1, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jun 8, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 29, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 18, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Feb 19, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jan 28, 2026 | Health | Health Complaint | 5 | Actual harm | — | Open → |
| Jan 4, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 10, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Nov 21, 2025 | Fire safety | Fire Safety Standard | 11 | Potential harm | — | Open → |
| Nov 21, 2025 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Sep 12, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 27, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 29, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Mar 19, 2025 | Health | Health Complaint | 3 | Potential harm | — | Open → |
| Jan 16, 2025 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 1, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 20, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 3, 2024 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Sep 26, 2024 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Sep 26, 2024 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Aug 28, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 12, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jul 2, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Jun 20, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 22, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Apr 26, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Apr 19, 2024 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Jan 17, 2024 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Dec 19, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Dec 8, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Nov 30, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Nov 14, 2023 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Nov 1, 2023 | Health | Health Complaint | 2 | Potential harm | — | Open → |
| Oct 27, 2023 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Oct 27, 2023 | Health | Health Complaint, Health Standard | 8 | Potential harm | — | Open → |
| Oct 11, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Aug 1, 2026 | Civil money penalty (fine) | $56,000 | — | 145405|Fine|145834 |
| May 22, 2024 | Civil money penalty (fine) | $14,050 | — | 145405|Fine|70078 |
| Apr 19, 2024 | Civil money penalty (fine) | $14,050 | — | 145405|Fine|70037 |
| Apr 19, 2024 | Civil money penalty (fine) | $12,035 | — | 145405|Fine|70036 |
| Jan 17, 2024 | Civil money penalty (fine) | $23,647 | — | 145405|Fine|69257 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G10 | H· | I· |
| Potential harm | D42 | E43 | F19 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 18, 2026 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Aug 20, 2026 | ComplaintIDR |
| Aug 18, 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 Aug 20, 2026 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
10 facilities in 1 states. CMS chain ID 88.
Chain average overall rating (CMS): 1.5
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Miriam Robinson | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Sep 1, 2008 |
| Dvorah Weinfeld | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Sep 1, 2008 |
| Rebecca Weiss | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Sep 1, 2008 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Miriam Robinson | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Sep 1, 2008 |
| Dvorah Weinfeld | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Sep 1, 2008 |
| Rebecca Weiss | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Sep 1, 2008 |
| Kim Boulton | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jun 28, 2016 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Nexus at Elmwood 7733 West Grand Avenue, Elmwood Park, IL 60707 CCN 145419SFF CandidateAbuse icon | 245 | Jul 9, 2026 | 1725 IJ19 harm |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Burgess Square Healthcare Ctr 5801 South Cass Avenue, Westmont, IL 60559 CCN 145219 | 1.4 km | 203 | May 21, 2026 | 293 harm | — | |
| Oak Trace 250 Village Drive, Downers Grove, IL 60516 CCN 145804 | 1.5 km | 104 | Mar 20, 2026 | 312 harm | $14k | |
| Chateau Nrsg & Rehab Center 7050 Madison Street, Willowbrook, IL 60521 CCN 145614 | 3.4 km | 150 | Apr 27, 2026 | 574 harm | $76k | |
| Eden Vista Burr Ridge 6801 Highgrove Boulevard, Burr Ridge, IL 60527 CCN 146094 | 3.7 km | 29 | Jul 2, 2026 | 363 harm | — | |
| Oakwood Rehab and Nursing Center 512 East Ogden Avenue, Westmont, IL 60559 CCN 145338Abuse icon | 4.6 km | 149 | Jul 1, 2026 | 804 harm | $96k | |
| The Pearl of Hinsdale 600 West Ogden Avenue, Hinsdale, IL 60521 CCN 145246 | 5.5 km | 202 | Jul 22, 2026 | 352 harm | — | |
| Briar Place Nursing 6800 West Joliet, Indian Head Park, IL 60525 CCN 145784 | 6.8 km | 232 | Aug 12, 2026 | 1012 IJ7 harm | $148k | |
| The Pearl of Downers Grove 3450 Saratoga Avenue, Downers Grove, IL 60515 CCN 145657 | 6.9 km | 145 | Jul 9, 2026 | 863 harm | $31k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 145405 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 145405 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 145405 | county_fips County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list). | Inferred | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Oct 27, 2023 | Denial of payment for new admissions | — | Dec 1, 2023 · 35 days | 145405|Payment Denial|2023-12-01 |
| Oct 27, 2023 | Civil money penalty (fine) | $76,125 | — | 145405|Fine|69004 |
| Complaint |
| Aug 1, 2026 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Aug 4, 2026 | Complaint |
| Jun 8, 2026 | 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 | F · Potential harm Widespread | Corrected Jun 9, 2026 | Complaint |
| May 29, 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 | D · Potential harm Isolated | Corrected Jun 2, 2026 | Complaint |
| May 18, 2026 | F-0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected May 20, 2026 | Complaint |
| Feb 19, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 23, 2026 | Complaint |
| Jan 28, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jan 29, 2026 | Complaint |
| Jan 28, 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 Jan 29, 2026 | Complaint |
| Jan 28, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 29, 2026 | Complaint |
| Jan 28, 2026 | 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 Jan 29, 2026 | Complaint |
| Jan 28, 2026 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 29, 2026 | Complaint |
| Jan 4, 2026 | 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 | E · Potential harm Pattern | Corrected Jan 5, 2026 | Complaint |
| Dec 10, 2025 | 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 | E · Potential harm Pattern | Corrected Dec 17, 2025 | Complaint |
| Dec 10, 2025 | 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 | E · Potential harm Pattern | Corrected Dec 17, 2025 | Complaint |
| Dec 10, 2025 | 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 Dec 17, 2025 | Complaint |
| Nov 21, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 14, 2025 |
| Nov 21, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 15, 2025 |
| Nov 21, 2025 | K-0341 | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 13, 2025 |
| Nov 21, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 13, 2025 |
| Nov 21, 2025 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 19, 2025 |
| Nov 21, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 12, 2025 |
| Nov 21, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 12, 2025 |
| Nov 21, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 13, 2025 |
| Nov 21, 2025 | K-0524 | Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 15, 2025 |
| Nov 21, 2025 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 13, 2025 |
| Nov 21, 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 Dec 13, 2025 |
| Nov 21, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 28, 2025 |
| Nov 21, 2025 | 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 17, 2025 |
| Nov 21, 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 | D · Potential harm Isolated | Corrected Nov 28, 2025 |
| Nov 21, 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 | E · Potential harm Pattern | Corrected Nov 28, 2025 |
| Nov 21, 2025 | F-0692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 28, 2025 |
| Nov 21, 2025 | 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 Nov 28, 2025 |
| Nov 21, 2025 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 28, 2025 |
| Nov 21, 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 Nov 28, 2025 |
| Nov 21, 2025 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Nov 28, 2025 |
| Nov 21, 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 | F · Potential harm Widespread | Corrected Nov 28, 2025 |
| Sep 12, 2025 | 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 | D · Potential harm Isolated | Corrected Sep 13, 2025 | Complaint |
| Aug 27, 2025 | 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 Aug 28, 2025 | Complaint |
| May 29, 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 Jun 2, 2025 | Complaint |
| Mar 19, 2025 | 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 Mar 21, 2025 | Complaint |
| Mar 19, 2025 | F-0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 21, 2025 | Complaint |
| Mar 19, 2025 | F-0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Mar 21, 2025 | Complaint |
| Jan 16, 2025 | 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 Jan 18, 2025 | Complaint |
| Dec 1, 2024 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 4, 2024 | Complaint |
| Oct 20, 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 Oct 21, 2024 | Complaint |
| Oct 20, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 21, 2024 | Complaint |
| Oct 3, 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 Oct 4, 2024 | Complaint |
| Oct 3, 2024 | 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 Oct 4, 2024 | Complaint |
| Sep 26, 2024 | K-0133 | Install a two-hour-resistant firewall separation. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 4, 2024 |
| Sep 26, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 4, 2024 |
| Sep 26, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 15, 2024 |
| Sep 26, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 9, 2024 |
| Sep 26, 2024 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 4, 2024 |
| Sep 26, 2024 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 4, 2024 |
| Sep 26, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 4, 2024 |
| Sep 26, 2024 | K-0524 | Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 4, 2024 |
| Sep 26, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 4, 2024 |
| Sep 26, 2024 | K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 4, 2024 |
| Sep 26, 2024 | K-0781 | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 4, 2024 |
| Sep 26, 2024 | 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 Oct 4, 2024 |
| Sep 26, 2024 | K-0923 | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 4, 2024 |
| Sep 26, 2024 | 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 30, 2024 |
| Sep 26, 2024 | 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 Sep 30, 2024 |
| Sep 26, 2024 | 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 Sep 30, 2024 |
| Sep 26, 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 | E · Potential harm Pattern | Corrected Sep 30, 2024 |
| Sep 26, 2024 | 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 Sep 30, 2024 |
| Sep 26, 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 30, 2024 |
| Sep 26, 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 | E · Potential harm Pattern | Corrected Sep 30, 2024 |
| Sep 26, 2024 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Sep 30, 2024 |
| Sep 26, 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 | D · Potential harm Isolated | Corrected Sep 30, 2024 |
| Sep 26, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 30, 2024 |
| Aug 28, 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 Aug 29, 2024 | Complaint |
| Aug 12, 2024 | 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 | D · Potential harm Isolated | Corrected Aug 13, 2024 | Complaint |
| Jul 2, 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 | E · Potential harm Pattern | Corrected Jul 3, 2024 | Complaint |
| Jun 20, 2024 | 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 Jun 21, 2024 | Complaint |
| May 22, 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 | G · Actual harm Isolated | Corrected May 23, 2024 | Complaint |
| May 22, 2024 | F-0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 23, 2024 | Complaint |
| Apr 26, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Apr 27, 2024 | Complaint |
| Apr 26, 2024 | 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 | D · Potential harm Isolated | Corrected Apr 27, 2024 | Complaint |
| Apr 19, 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 | G · Actual harm Isolated | Corrected Apr 20, 2024 | Complaint |
| Jan 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 | G · Actual harm Isolated | Corrected Jan 18, 2024 | Complaint |
| Jan 17, 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 | G · Actual harm Isolated | Corrected Jan 18, 2024 | Complaint |
| Jan 17, 2024 | 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 Jan 18, 2024 | Complaint |
| Dec 19, 2023 | 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 20, 2023 | Complaint |
| Dec 19, 2023 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 20, 2023 | Complaint |
| Dec 8, 2023 | 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 Dec 13, 2023 | Complaint |
| Nov 30, 2023 | 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 20, 2023 | Complaint |
| Nov 30, 2023 | 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 Dec 13, 2023 | Complaint |
| Nov 14, 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 Nov 15, 2023 | Complaint |
| Nov 1, 2023 | 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 Jan 5, 2024 | Complaint |
| Nov 1, 2023 | 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 20, 2023 | Complaint |
| Oct 27, 2023 | E-0022 | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 17, 2023 |
| Oct 27, 2023 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Nov 17, 2023 |
| Oct 27, 2023 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 8, 2023 |
| Oct 27, 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. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 3, 2023 |
| Oct 27, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 17, 2023 |
| Oct 27, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 6, 2023 |
| Oct 27, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 8, 2023 |
| Oct 27, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 6, 2023 |
| Oct 27, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 6, 2023 |
| Oct 27, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Nov 6, 2023 |
| Oct 27, 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 | F · Potential harm Widespread | Corrected Nov 20, 2023 |
| Oct 27, 2023 | 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 Nov 13, 2023 |
| Oct 27, 2023 | K-0930 | Ensure proper storage of liquid oxygen. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 8, 2023 |
| Oct 27, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Oct 31, 2023 | Complaint |
| Oct 27, 2023 | 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 | E · Potential harm Pattern | Corrected Dec 20, 2023 | Complaint |
| Oct 27, 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 | E · Potential harm Pattern | Corrected Nov 15, 2023 |
| Oct 27, 2023 | 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 Oct 31, 2023 | Complaint |
| Oct 27, 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 Oct 31, 2023 | Complaint |
| Oct 27, 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 | E · Potential harm Pattern | Corrected Oct 31, 2023 |
| Oct 27, 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 | F · Potential harm Widespread | Corrected Oct 31, 2023 |
| Oct 27, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 5, 2024 |
| Oct 11, 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 Oct 16, 2023 | Complaint |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.55 (case-mix index 1.87).
| $663k |
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