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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D14 | E12 | F64 |
| 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 | |
|---|---|---|---|---|---|---|
| Jul 6, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 30, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Apr 4, 2025 | Fire safety | Fire Safety Standard | 18 | Potential harm | — | Open → |
| Apr 4, 2025 | Health | Health Complaint, Health Standard | 6 | Actual harm | — | Open → |
| Sep 6, 2024 | Health | Health Complaint | 2 | Actual harm | — | Open → |
| Jun 28, 2024 | Fire safety | Fire Safety Standard | 16 | Potential harm | — | Open → |
| Jun 28, 2024 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Mar 22, 2024 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Oct 2, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| May 26, 2023 | Fire safety | Fire Safety Standard | 33 | Potential harm | — | Open → |
| May 26, 2023 | Health | Health Standard | 12 | Actual harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Jun 12, 2026 | Denial of payment for new admissions | — | Jul 9, 2026 · 8 days | 146013|Payment Denial|2026-07-09 |
| Jun 12, 2026 | Civil money penalty (fine) | $72,010 | — | 146013|Fine|144234 |
| Apr 4, 2025 | Denial of payment for new admissions | — | May 3, 2025 · 16 days | 146013|Payment Denial|2025-05-03 |
| Apr 4, 2025 | Civil money penalty (fine) | $83,717 | — | 146013|Fine|70494 |
| Jun 28, 2024 | Civil money penalty (fine) | $34,420 | — | 146013|Fine|70017 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G4 | H· | I· |
| Potential harm | D14 | E12 | F64 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jul 6, 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 | F · Potential harm Widespread | Corrected Jul 17, 2026 | Complaint |
| Apr 30, 2026 | 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 May 21, 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.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Joseph Blisko | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | Sep 1, 2009 |
| Nancy Blisko | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2009 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Joseph Blisko | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | Sep 1, 2009 |
| Nancy Blisko | Individual | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Sep 1, 2009 |
| Alan Irni | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 1, 2010 |
| Phillip Morgenstern | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 19, 2024 |
| Alan Irni | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Oak Park Oasis 625 North Harlem, Oak Park, IL 60302 CCN 145714 | 1.9 km | 204 | May 22, 2026 | 1035 harm | $212k | |
| The Pearl of Montclare 2833 North Nordica Avenue, Chicago, IL 60634 CCN 145844 | 2.5 km | 96 | Jul 12, 2026 | 515 harm | $69k | |
| Nexus at Elmwood 7733 West Grand Avenue, Elmwood Park, IL 60707 CCN 145419SFF CandidateAbuse icon | 2.6 km | 245 | Jul 9, 2026 | 1725 IJ19 harm1 open | $663k | |
| Central Nursing Home 2450 North Central Avenue, Chicago, IL 60639 CCN 145648Abuse icon | 3.3 km | 245 | Aug 27, 2026 | 511 IJ3 harm | $234k | |
| Complete Care at the Boulevard 5905 West Washington, Chicago, IL 60644 CCN 145885Abuse icon | 3.7 km | 156 | Jul 8, 2026 | 813 IJ7 harm | $300k | |
| Gottlieb Memorial Hospital 701 West North Avenue, Melrose Park, IL 60160 CCN 145526 | 4.1 km | 32 | Mar 12, 2026 | 13 | — | |
| The Austin Oasis 901 South Austin Blvd, Chicago, IL 60644 CCN 145834Abuse icon | 4.8 km | 216 | Aug 21, 2026 | 1308 harm | $536k | |
| Community First Medical Center 5645 West Addison Street, Chicago, IL 60634 CCN 145548 | 4.8 km | 66 | Aug 9, 2024 | 35 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 146013 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 146013 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Feb 20, 2024 | Civil money penalty (fine) | $4,938 | — | 146013|Fine|69434 |
| Feb 12, 2024 | Civil money penalty (fine) | $4,938 | — | 146013|Fine|69395 |
| Jan 22, 2024 | Civil money penalty (fine) | $14,814 | — | 146013|Fine|69278 |
| Jan 8, 2024 | Civil money penalty (fine) | $4,938 | — | 146013|Fine|69211 |
| Jan 2, 2024 | Civil money penalty (fine) | $4,587 | — | 146013|Fine|69186 |
| Dec 11, 2023 | Civil money penalty (fine) | $13,762 | — | 146013|Fine|69101 |
| Nov 20, 2023 | Civil money penalty (fine) | $4,587 | — | 146013|Fine|69028 |
| Nov 13, 2023 | Civil money penalty (fine) | $4,587 | — | 146013|Fine|68991 |
| Nov 6, 2023 | Civil money penalty (fine) | $4,587 | — | 146013|Fine|68953 |
| Oct 30, 2023 | Civil money penalty (fine) | $4,587 | — | 146013|Fine|68910 |
| Oct 23, 2023 | Civil money penalty (fine) | $4,587 | — | 146013|Fine|68877 |
| Oct 17, 2023 | Civil money penalty (fine) | $4,587 | — | 146013|Fine|68851 |
| Complaint |
| Apr 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 | G · Actual harm Isolated | Corrected Apr 23, 2025 | Complaint |
| Apr 4, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 8, 2025 |
| Apr 4, 2025 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 8, 2025 |
| Apr 4, 2025 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 8, 2025 |
| Apr 4, 2025 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 8, 2025 |
| Apr 4, 2025 | E-0026 | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 8, 2025 |
| Apr 4, 2025 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 8, 2025 |
| Apr 4, 2025 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 8, 2025 |
| Apr 4, 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 May 8, 2025 |
| Apr 4, 2025 | 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. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 8, 2025 |
| Apr 4, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 8, 2025 |
| Apr 4, 2025 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 8, 2025 |
| Apr 4, 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 May 8, 2025 |
| Apr 4, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 19, 2025 |
| Apr 4, 2025 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 8, 2025 |
| Apr 4, 2025 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 8, 2025 |
| Apr 4, 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 May 8, 2025 |
| Apr 4, 2025 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 8, 2025 |
| Apr 4, 2025 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 8, 2025 |
| Apr 4, 2025 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 23, 2025 |
| Apr 4, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 23, 2025 |
| Apr 4, 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 Apr 23, 2025 |
| Apr 4, 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 Apr 23, 2025 |
| Apr 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 | F · Potential harm Widespread | Corrected Apr 23, 2025 |
| Sep 6, 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 | G · Actual harm Isolated | Corrected Sep 23, 2024 | Complaint |
| Sep 6, 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 Sep 23, 2024 | Complaint |
| Jun 28, 2024 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 12, 2024 |
| Jun 28, 2024 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 12, 2024 |
| Jun 28, 2024 | E-0023 | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 12, 2024 |
| Jun 28, 2024 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 12, 2024 |
| Jun 28, 2024 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 12, 2024 |
| Jun 28, 2024 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 12, 2024 |
| Jun 28, 2024 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 12, 2024 |
| Jun 28, 2024 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 12, 2024 |
| Jun 28, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 12, 2024 |
| Jun 28, 2024 | 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 Aug 12, 2024 |
| Jun 28, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 4, 2024 |
| Jun 28, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 12, 2024 |
| Jun 28, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 12, 2024 |
| Jun 28, 2024 | 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 Aug 12, 2024 |
| Jun 28, 2024 | K-0915 | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 12, 2024 |
| Jun 28, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 5, 2024 |
| Jun 28, 2024 | 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 | F · Potential harm Widespread | Corrected Jul 19, 2024 |
| Jun 28, 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 Jul 19, 2024 |
| Jun 28, 2024 | 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 Jul 19, 2024 |
| Mar 22, 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 Apr 5, 2024 | Complaint |
| Oct 2, 2023 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Oct 27, 2023 | Complaint |
| May 26, 2023 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Sep 4, 2023 |
| May 26, 2023 | E-0001 | Establish an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0006 | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0013 | Develop Emergency Preparedness policies and procedures. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0015 | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0018 | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0022 | Establish policies and procedures for sheltering. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0023 | Establish policies and procedures for medical documentation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0024 | Establish policies and procedures for volunteers. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0025 | Create arrangements with other facilities to receive patients. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0029 | Develop a communication plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0031 | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0032 | Provide primary/alternate means for communication. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0033 | Establish methods for sharing information. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0034 | Provide a means of sharing information on occupancy/needs. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 26, 2023 |
| May 26, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 21, 2023 |
| May 26, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Aug 30, 2023 |
| May 26, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Aug 30, 2023 |
| May 26, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Sep 12, 2023 |
| May 26, 2023 | K-0541 | Install properly constructed and protected linen or trash chutes. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 19, 2023 |
| May 26, 2023 | K-0915 | Have proper power supply for life support equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 11, 2023 |
| May 26, 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 Jul 19, 2023 |
| May 26, 2023 | K-0929 | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 19, 2023 |
| May 26, 2023 | 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 4, 2023 |
| May 26, 2023 | 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 29, 2023 |
| May 26, 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 Sep 4, 2023 |
| May 26, 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 Sep 4, 2023 |
| May 26, 2023 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 4, 2023 |
| May 26, 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 | F · Potential harm Widespread | Corrected Sep 29, 2023 |
| May 26, 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 Sep 4, 2023 |
| May 26, 2023 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jun 23, 2023 |
| May 26, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Sep 29, 2023 |
| May 26, 2023 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Oct 9, 2023 |
| May 26, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Oct 16, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 2.09 (case-mix index 1.72).
| Additional disclosable party |
| ADP OF THE SNF |
| not provided |
| Oct 1, 2010 |
| Rajiv Kandala | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 13, 2026 |
| Phillip Morgenstern | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 9, 2026 |