| May 14, 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 | J · Immediate jeopardy Isolated | Past non-compliance Apr 1, 2026 | Complaint |
| Nov 17, 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 | J · Immediate jeopardy Isolated | Past non-compliance Sep 19, 2025 | Complaint |
| Nov 17, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Past non-compliance Sep 19, 2025 | Complaint |
| Nov 17, 2025 | F-0610 | Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | K · Immediate jeopardy Pattern | Past non-compliance Sep 19, 2025 | Complaint |
| Jun 3, 2025 | 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 Jun 19, 2025 | Complaint |
| Mar 27, 2025 | K-0161 | Use approved construction type or materials.Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Waiver granted Jun 10, 2025 | |
| Mar 27, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | F · Potential harm Widespread | Corrected Jun 10, 2025 | |
| Mar 27, 2025 | 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. | F · Potential harm Widespread | Corrected Jun 10, 2025 | |
| Mar 27, 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. | F · Potential harm Widespread | Corrected Jun 10, 2025 | |
| Mar 27, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | F · Potential harm Widespread | Corrected Jun 10, 2025 | |
| Mar 27, 2025 | K-0293 | Have properly located and lighted "Exit" signs. | F · Potential harm Widespread | Corrected Jun 10, 2025 | |
| Mar 27, 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. | F · Potential harm Widespread | Corrected Jun 10, 2025 | |
| Mar 27, 2025 | K-0324 | Provide properly protected cooking facilities. | F · Potential harm Widespread | Corrected Jun 10, 2025 | |
| Mar 27, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | F · Potential harm Widespread | Corrected Jun 10, 2025 | |
| Mar 27, 2025 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | F · Potential harm Widespread | Corrected Jun 10, 2025 | |
| Mar 27, 2025 | K-0363 | Install corridor and hallway doors that block smoke. | F · Potential harm Widespread | Corrected Jun 10, 2025 | |
| Mar 27, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. | F · Potential harm Widespread | Corrected Jun 10, 2025 | |
| Mar 27, 2025 | K-0531 | Have elevators that firefighters can control in the event of a fire. | F · Potential harm Widespread | Corrected Jun 10, 2025 | |
| Mar 27, 2025 | K-0712 | Have simulated fire drills held at unexpected times.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 10, 2025 | |
| Mar 27, 2025 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 10, 2025 | |
| Mar 27, 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 Jun 10, 2025 | |
| Mar 27, 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 Jun 10, 2025 | |
| Mar 27, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 7, 2025 | Complaint |
| Mar 27, 2025 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 7, 2025 | Complaint |
| Mar 27, 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 | D · Potential harm Isolated | Corrected May 7, 2025 | Complaint |
| Mar 27, 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 May 7, 2025 | Complaint |
| Mar 27, 2025 | F-0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 7, 2025 | Complaint |
| Mar 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 | E · Potential harm Pattern | Corrected May 7, 2025 | Complaint |
| Mar 27, 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 May 7, 2025 | Complaint |
| Mar 27, 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 May 7, 2025 | Complaint |
| Mar 27, 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 | D · Potential harm Isolated | Corrected May 7, 2025 | Complaint |
| Mar 27, 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 | E · Potential harm Pattern | Corrected May 7, 2025 | Complaint |
| Mar 27, 2025 | 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 May 7, 2025 | Complaint |
| Mar 27, 2025 | F-0699 | Provide care or services that was trauma informed and/or culturally competent.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 7, 2025 | Complaint |
| Mar 27, 2025 | F-0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 7, 2025 | Complaint |
| Mar 27, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training.Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected May 7, 2025 | Complaint |
| Mar 27, 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 May 7, 2025 | Complaint |
| Mar 27, 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 May 7, 2025 | Complaint |
| Mar 27, 2025 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 7, 2025 | Complaint |
| Mar 27, 2025 | F-0732 | Post nurse staffing information every day.Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected May 7, 2025 | Complaint |
| Jun 25, 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 | Past non-compliance May 11, 2024 | Complaint |
| Feb 29, 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 | J · Immediate jeopardy Isolated | Past non-compliance Feb 22, 2024 | Complaint |
| Oct 18, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | L · Immediate jeopardy Widespread | Corrected Nov 15, 2023 | |
| Oct 18, 2023 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | L · Immediate jeopardy Widespread | Corrected Nov 15, 2023 | |
| Oct 18, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Oct 18, 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. | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Oct 18, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | F · Potential harm Widespread | Corrected Dec 5, 2023 | |
| Oct 18, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Oct 18, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | D · Potential harm Isolated | Corrected Dec 5, 2023 | |
| Oct 18, 2023 | K-0541 | Install properly constructed and protected linen or trash chutes. | F · Potential harm Widespread | Corrected Dec 5, 2023 | |
| Oct 18, 2023 | K-0712 | Have simulated fire drills held at unexpected times.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 5, 2023 | |
| Oct 18, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 5, 2023 | |
| Oct 18, 2023 | 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 Dec 5, 2023 | |
| Oct 18, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 6, 2023 | |
| Oct 18, 2023 | F-0558 | Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Nov 6, 2023 | |
| Oct 18, 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 | E · Potential harm Pattern | Corrected Nov 6, 2023 | |
| Oct 18, 2023 | F-0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Nov 6, 2023 | |
| Oct 18, 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 6, 2023 | |
| Oct 18, 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 6, 2023 | |
| Oct 18, 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 | F · Potential harm Widespread | Corrected Nov 6, 2023 | |
| Oct 18, 2023 | F-0679 | Provide activities to meet all resident's needs.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 6, 2023 | |
| Oct 18, 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 Nov 6, 2023 | |
| Oct 18, 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 Nov 6, 2023 | |
| Oct 18, 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 6, 2023 | |
| Oct 18, 2023 | 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 Nov 6, 2023 | |
| Oct 18, 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 Nov 6, 2023 | |
| Oct 18, 2023 | F-0730 | Observe each nurse aide's job performance and give regular training.Nursing and Physician Services Deficiencies · Staffing & supervision | F · Potential harm Widespread | Corrected Nov 6, 2023 | |
| Oct 18, 2023 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 6, 2023 | |
| Oct 18, 2023 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 6, 2023 | |
| Oct 18, 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 Nov 6, 2023 | |
| Oct 18, 2023 | 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 | D · Potential harm Isolated | Corrected Nov 6, 2023 | |
| Oct 18, 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 Nov 6, 2023 | |
| Oct 18, 2023 | F-0865 | Have a plan that describes the process for conducting QAPI and QAA activities.Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Nov 6, 2023 | |
| Oct 18, 2023 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Nov 6, 2023 | |
| Oct 18, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Nov 6, 2023 | |
| Oct 18, 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 | F · Potential harm Widespread | Corrected Nov 6, 2023 | |
| Feb 8, 2022 | 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. | E · Potential harm Pattern | Corrected Mar 18, 2022 | |
| Feb 8, 2022 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | F · Potential harm Widespread | Corrected Mar 18, 2022 | |
| Feb 8, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | F · Potential harm Widespread | Corrected Mar 18, 2022 | |
| Feb 8, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | E · Potential harm Pattern | Corrected Mar 18, 2022 | |
| Feb 8, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | D · Potential harm Isolated | Corrected Mar 18, 2022 | |
| Feb 8, 2022 | K-0363 | Install corridor and hallway doors that block smoke. | E · Potential harm Pattern | Corrected Mar 18, 2022 | |
| Feb 8, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. | F · Potential harm Widespread | Corrected Mar 18, 2022 | |
| Feb 8, 2022 | K-0712 | Have simulated fire drills held at unexpected times.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 18, 2022 | |
| Feb 8, 2022 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals.Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 18, 2022 | |
| Feb 8, 2022 | 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 Mar 18, 2022 | |
| Feb 8, 2022 | K-0923 | Have proper medical gas storage and administration areas.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 18, 2022 | |
| Feb 8, 2022 | 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 Feb 25, 2022 | |
| Feb 8, 2022 | 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 Feb 25, 2022 | |
| Feb 8, 2022 | 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 Feb 25, 2022 | |
| Feb 8, 2022 | F-0679 | Provide activities to meet all resident's needs.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 25, 2022 | |
| Feb 8, 2022 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 25, 2022 | |
| Feb 8, 2022 | 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 Feb 25, 2022 | |
| Feb 8, 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 Feb 25, 2022 | |
| Feb 8, 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 Feb 25, 2022 | |
| Feb 8, 2022 | F-0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Feb 25, 2022 | |