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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D26 | E9 | F33 |
| Minimal | A· | B· | C1 |
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 | |
|---|---|---|---|---|---|---|
| Feb 18, 2026 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Feb 18, 2026 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Mar 28, 2024 | Fire safety | Fire Safety Standard | 9 | Potential harm | — | Open → |
| Mar 28, 2024 | Health | Health Complaint, Health Standard | 14 | Potential harm | — | Open → |
| May 9, 2022 | Fire safety | Fire Safety Standard | 15 | Potential harm | — | Open → |
| May 9, 2022 | Health | Health Standard | 9 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D26 | E9 | F33 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Feb 18, 2026 | K-0161 | Use approved construction type or materials. Construction Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 30, 2026 | |
| Feb 18, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 30, 2026 | |
| Feb 18, 2026 | K-0222 |
“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 |
|---|---|---|---|---|---|
| Yisroel Chafetz | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Feb 1, 2021 |
| Ephram Lahasky | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Aug 28, 2020 |
| Mark Sroczynski | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Dec 5, 2024 |
| Emerald Healthcare LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Evolve Therapy Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Forvis Mazars LLP | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Limestone Fiscal Services LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Merch Pay Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Private Bancorp Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Saul N Friedman & Company | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Zimmet Healthcare Services Group LLC | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Yisroel Chafetz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| David Fleischmann | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 12, 2022 |
| Brenda Franklin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Brian Gopin | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Julianne Pankratz | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Barbara Pierce | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Stacey Ray | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 7, 2022 |
| Mark Sroczynski | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Amy Vanbrunt | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 15, 2024 |
| Gretchen Wagner | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 8, 2021 |
| Michael Williams | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2021 |
| Yisroel Chafetz | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2021 |
| Ephram Lahasky | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2021 |
| Mark Sroczynski | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 1, 2021 |
| Emerald Healthcare LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 7, 2025 |
| Evolve Therapy Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 7, 2025 |
| Forvis Mazars LLP | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 7, 2025 |
| Limestone Fiscal Services LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 7, 2025 |
| Merch Pay Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 7, 2025 |
| Private Bancorp Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 7, 2025 |
| Saul N Friedman & Company | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 7, 2025 |
| Zimmet Healthcare Services Group LLC | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 7, 2025 |
| Yisroel Chafetz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2021 |
| David Fleischmann | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 12, 2022 |
| Brenda Franklin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2021 |
| Brian Gopin | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2021 |
| Julianne Pankratz | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2022 |
| Barbara Pierce | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2021 |
| Stacey Ray | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 7, 2022 |
| Mark Sroczynski | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2021 |
| Amy Vanbrunt | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 15, 2024 |
| Gretchen Wagner | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 8, 2021 |
| Michael Williams | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Feb 1, 2021 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Kansas Christian Home 1035 SE 3rd Street, Newton, KS 67114 CCN 175467 | 2.1 km | 54 | May 14, 2026 | 541 harm | — | |
| Newton Presbyterian Manor 1200 E 7th Street, Newton, KS 67114 CCN 175302 | 3.2 km | 60 | Feb 25, 2026 | 413 harm | $17k | |
| Bethel Health Care Center 3000 Ivy Drive, North Newton, KS 67117 CCN 175402 | 5.6 km | 65 | Dec 18, 2024 | 28 | — | |
| Schowalter Villa 200 W Cedar, Hesston, KS 67062 CCN 175386 | 13.6 km | 105 | Nov 7, 2024 | 40 | — | |
| Halstead Health and Rehabilitation Center 915 Mcnair Street, Halstead, KS 67056 CCN 175446 | 13.9 km | 60 | Apr 15, 2026 | 591 IJ2 harm | $11k | |
| Pine Village 86 Twenty-Second Avenue, Moundridge, KS 67107 CCN 175414 | 23.2 km | 74 | May 6, 2025 | 38 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 175385 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 175385 | 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
| 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. Egress Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected May 6, 2026 |
| Feb 18, 2026 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 30, 2026 |
| Feb 18, 2026 | 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 | D · Potential harm Isolated | Corrected Apr 30, 2026 |
| Feb 18, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 30, 2026 |
| Feb 18, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 4, 2026 |
| Feb 18, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 30, 2026 |
| Feb 18, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 30, 2026 |
| Feb 18, 2026 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 4, 2026 |
| Feb 18, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 30, 2026 |
| Feb 18, 2026 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 4, 2026 |
| Feb 18, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 2, 2026 |
| Feb 18, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 2, 2026 |
| Feb 18, 2026 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 2, 2026 |
| Feb 18, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 2, 2026 |
| Feb 18, 2026 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 2, 2026 |
| Feb 18, 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 | D · Potential harm Isolated | Corrected Apr 2, 2026 |
| Feb 18, 2026 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 2, 2026 |
| Feb 18, 2026 | 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 Apr 2, 2026 |
| Feb 18, 2026 | 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 Apr 2, 2026 |
| Feb 18, 2026 | 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 Apr 2, 2026 |
| Mar 28, 2024 | 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. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 8, 2024 |
| Mar 28, 2024 | 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 | F · Potential harm Widespread | Corrected Mar 8, 2024 |
| Mar 28, 2024 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 8, 2024 |
| Mar 28, 2024 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 8, 2024 |
| Mar 28, 2024 | K-0311 | Have an enclosure around a vertical opening shaft. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 8, 2024 |
| Mar 28, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 8, 2024 |
| Mar 28, 2024 | K-0711 | Provide a written emergency evacuation plan. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 8, 2024 |
| Mar 28, 2024 | K-0902 | Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 8, 2024 |
| Mar 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 Mar 8, 2024 |
| Mar 28, 2024 | 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 | E · Potential harm Pattern | Corrected Apr 30, 2024 | Complaint |
| Mar 28, 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 | E · Potential harm Pattern | Corrected Apr 30, 2024 | Complaint |
| Mar 28, 2024 | F-0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Mar 28, 2024 | 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 Apr 30, 2024 | Complaint |
| Mar 28, 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 Apr 30, 2024 | Complaint |
| Mar 28, 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 | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Mar 28, 2024 | F-0679 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Apr 30, 2024 |
| Mar 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 Apr 30, 2024 |
| Mar 28, 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 Apr 30, 2024 |
| Mar 28, 2024 | 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 Apr 30, 2024 |
| Mar 28, 2024 | 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 Apr 30, 2024 | Complaint |
| Mar 28, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 30, 2024 |
| Mar 28, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Apr 30, 2024 |
| Mar 28, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 30, 2024 | Complaint |
| May 9, 2022 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 15, 2022 |
| May 9, 2022 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 15, 2022 |
| May 9, 2022 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 15, 2022 |
| May 9, 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. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 15, 2022 |
| May 9, 2022 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 15, 2022 |
| May 9, 2022 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 15, 2022 |
| May 9, 2022 | 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 Jul 15, 2022 |
| May 9, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 15, 2022 |
| May 9, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 15, 2022 |
| May 9, 2022 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 15, 2022 |
| May 9, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 15, 2022 |
| May 9, 2022 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 15, 2022 |
| May 9, 2022 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 15, 2022 |
| May 9, 2022 | 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 15, 2022 |
| May 9, 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 Jul 15, 2022 |
| May 9, 2022 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 8, 2022 |
| May 9, 2022 | 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 Jun 8, 2022 |
| May 9, 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 Jun 8, 2022 |
| May 9, 2022 | 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 Jun 8, 2022 |
| May 9, 2022 | 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 Jun 8, 2022 |
| May 9, 2022 | 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 Jun 8, 2022 |
| May 9, 2022 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jun 8, 2022 |
| May 9, 2022 | F-0732 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Jun 8, 2022 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.57 (case-mix index 1.19).