| Jul 16, 2026 | F-0555 | Honor the resident's right to choose his or her attending physician.Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Aug 28, 2026 | Complaint |
| Jul 16, 2026 | 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 Aug 28, 2026 | Complaint |
| Jul 16, 2026 | 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 Aug 28, 2026 | Complaint |
| Jul 16, 2026 | F-0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 28, 2026 | Complaint |
| Jul 16, 2026 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 28, 2026 | Complaint |
| Jul 16, 2026 | F-0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 28, 2026 | Complaint |
| Jun 17, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies · Clinical care | J · Immediate jeopardy Isolated | Corrected Sep 1, 2026 | Complaint |
| Jun 17, 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 Jun 24, 2026 | Complaint |
| Jun 17, 2026 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 1, 2026 | Complaint |
| Jun 17, 2026 | F-0603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 24, 2026 | Complaint |
| Jun 17, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 24, 2026 | Complaint |
| Jun 17, 2026 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyAdministration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 1, 2026 | Complaint |
| Jan 29, 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 Feb 12, 2026 | Complaint |
| Jan 29, 2026 | 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 Feb 12, 2026 | Complaint |
| Jan 29, 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 Feb 12, 2026 | Complaint |
| Jan 29, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs.Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Feb 12, 2026 | Complaint |
| Jan 29, 2026 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Feb 12, 2026 | Complaint |
| Oct 9, 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 Dec 2, 2025 | Complaint |
| Oct 9, 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 Dec 2, 2025 | Complaint |
| Oct 9, 2025 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP).Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 1, 2026 | |
| Oct 9, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | E · Potential harm Pattern | Corrected Jan 1, 2026 | |
| Oct 9, 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. | E · Potential harm Pattern | Corrected Jan 1, 2026 | |
| Oct 9, 2025 | K-0281 | Install proper backup exit lighting. | D · Potential harm Isolated | Corrected Jan 1, 2026 | |
| Oct 9, 2025 | K-0293 | Have properly located and lighted "Exit" signs. | E · Potential harm Pattern | Corrected Jan 1, 2026 | |
| Oct 9, 2025 | K-0511 | Have properly installed electrical wiring and gas equipment. | E · Potential harm Pattern | Corrected Jan 1, 2026 | |
| Oct 9, 2025 | K-0781 | Have restrictions on the use of portable space heaters.Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 1, 2026 | |
| Oct 9, 2025 | 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 Dec 2, 2025 | Complaint |
| Oct 9, 2025 | F-0563 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 6, 2026 | |
| Oct 9, 2025 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility.Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Jan 6, 2026 | |
| Oct 9, 2025 | F-0567 | Honor the resident's right to manage his or her financial affairs.Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Jan 6, 2026 | Complaint |
| Oct 9, 2025 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 2, 2025 | |
| Oct 9, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Dec 2, 2025 | |
| Oct 9, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 2, 2025 | Complaint |
| Oct 9, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 2, 2025 | |
| Oct 9, 2025 | F-0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 2, 2025 | |
| Oct 9, 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 Dec 2, 2025 | |
| Oct 9, 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 Feb 12, 2026 | Complaint |
| Oct 9, 2025 | F-0687 | Provide appropriate foot care.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 2, 2025 | |
| Oct 9, 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 Dec 2, 2025 | |
| Oct 9, 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 Dec 2, 2025 | |
| Oct 9, 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 Dec 2, 2025 | |
| Oct 9, 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 Dec 2, 2025 | Complaint |
| Oct 9, 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 Dec 2, 2025 | |
| Oct 9, 2025 | F-0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 2, 2025 | |
| Oct 9, 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 Dec 2, 2025 | |
| Oct 9, 2025 | F-0774 | Help the resident with transportation to and from laboratory services outside of the facility.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Dec 2, 2025 | Complaint |
| Oct 9, 2025 | F-0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Dec 2, 2025 | |
| Oct 9, 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 | D · Potential harm Isolated | Corrected Dec 2, 2025 | |
| Oct 9, 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 | F · Potential harm Widespread | Corrected Dec 2, 2025 | |
| Oct 9, 2025 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Dec 2, 2025 | |
| Oct 9, 2025 | 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 Feb 12, 2026 | |
| Oct 9, 2025 | 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 Dec 2, 2025 | |
| Oct 9, 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 Dec 2, 2025 | |
| Oct 9, 2025 | F-0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Dec 2, 2025 | |
| Oct 9, 2025 | F-0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Dec 2, 2025 | |
| Oct 9, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 2, 2025 | Complaint |
| Oct 9, 2025 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 12, 2026 | |
| Oct 9, 2025 | F-0908 | Keep all essential equipment working safely.Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 2, 2025 | |
| Oct 9, 2025 | 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 Dec 2, 2025 | |
| Oct 9, 2025 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 2, 2025 | Complaint |
| Jul 2, 2025 | 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 Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0583 | Keep residents' personal and medical records private and confidential.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0610 | Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 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 16, 2025 | Complaint |
| Jul 2, 2025 | 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 Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0685 | Assist a resident in gaining access to vision and hearing services.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 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 Aug 16, 2025 | Complaint |
| Jul 2, 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 Aug 16, 2025 | Complaint |
| Jul 2, 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 Aug 16, 2025 | Complaint |
| Jul 2, 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 Aug 16, 2025 | Complaint |
| Jul 2, 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 Aug 16, 2025 | Complaint |
| Jul 2, 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 Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs.Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0779 | Keep signed and dated reports of x-rays and other diagnostic services in the residents record.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 16, 2025 | Complaint |
| Jul 2, 2025 | F-0732 | Post nurse staffing information every day.Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Aug 16, 2025 | Complaint |
| Nov 20, 2023 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP).Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Dec 15, 2023 | |
| Nov 20, 2023 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | D · Potential harm Isolated | Corrected Dec 15, 2023 | |
| Nov 20, 2023 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | E · Potential harm Pattern | Corrected Dec 15, 2023 | |
| Nov 20, 2023 | K-0281 | Install proper backup exit lighting. | E · Potential harm Pattern | Corrected Dec 15, 2023 | |
| Nov 20, 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. | E · Potential harm Pattern | Corrected Dec 15, 2023 | |
| Nov 20, 2023 | K-0351 | Install an approved automatic sprinkler system. | E · Potential harm Pattern | Corrected Dec 15, 2023 | |
| Nov 20, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | D · Potential harm Isolated | Corrected Dec 15, 2023 | |
| Nov 20, 2023 | K-0500 | Meet other general requirements that are deficient. | D · Potential harm Isolated | Corrected Dec 15, 2023 | |
| Nov 20, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. | D · Potential harm Isolated | Corrected Dec 15, 2023 | |
| Nov 20, 2023 | K-0531 | Have elevators that firefighters can control in the event of a fire. | E · Potential harm Pattern | Corrected Dec 15, 2023 | |
| Nov 20, 2023 | K-0711 | Provide a written emergency evacuation plan.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 15, 2023 | |
| Nov 20, 2023 | K-0712 | Have simulated fire drills held at unexpected times.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 15, 2023 | |
| Nov 20, 2023 | 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 Dec 15, 2023 | |
| Nov 20, 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 15, 2023 | |
| Nov 20, 2023 | K-0901 | Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.Electrical Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 15, 2023 | |
| Nov 20, 2023 | K-0909 | Ensure gas and vacuum piping is labeled.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 15, 2023 | |
| Nov 20, 2023 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 15, 2023 | |
| Nov 20, 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 Dec 15, 2023 | |
| Nov 20, 2023 | K-0923 | Have proper medical gas storage and administration areas.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 15, 2023 | |
| Nov 20, 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 Jan 17, 2024 | |
| Nov 20, 2023 | F-0565 | Honor the resident's right to organize and participate in resident/family groups in the facility.Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 17, 2024 | |
| Nov 20, 2023 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 17, 2024 | |
| Nov 20, 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 Jan 17, 2024 | |
| Nov 20, 2023 | 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 | E · Potential harm Pattern | Corrected Jan 17, 2024 | |
| Nov 20, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 17, 2024 | |
| Nov 20, 2023 | F-0610 | Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 2023 | F-0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 2023 | 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 | E · Potential harm Pattern | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 2023 | F-0624 | Prepare residents for a safe transfer or discharge from the nursing home.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 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 | E · Potential harm Pattern | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 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 | E · Potential harm Pattern | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 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 | E · Potential harm Pattern | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 2023 | 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 Jan 17, 2024 | Complaint |
| Nov 20, 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 Jan 17, 2024 | |
| Nov 20, 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 Jan 17, 2024 | |
| Nov 20, 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 Jan 17, 2024 | |
| Nov 20, 2023 | 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 Jan 17, 2024 | Complaint |
| Nov 20, 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 Jan 17, 2024 | |
| Nov 20, 2023 | 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 Jan 17, 2024 | Complaint |
| Nov 20, 2023 | 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 Jan 17, 2024 | Complaint |
| Nov 20, 2023 | 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 Jan 17, 2024 | |
| Nov 20, 2023 | 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 Jan 17, 2024 | |
| Nov 20, 2023 | F-0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 2023 | F-0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 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 Jan 17, 2024 | |
| Nov 20, 2023 | F-0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jan 17, 2024 | |
| Nov 20, 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 | D · Potential harm Isolated | Corrected Jan 17, 2024 | |
| Nov 20, 2023 | F-0730 | Observe each nurse aide's job performance and give regular training.Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 17, 2024 | |
| Nov 20, 2023 | F-0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.Quality of Life and Care Deficiencies · Clinical care | F · Potential harm Widespread | Corrected Jan 17, 2024 | |
| Nov 20, 2023 | 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 | E · Potential harm Pattern | Corrected Jan 17, 2024 | |
| Nov 20, 2023 | 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 | E · Potential harm Pattern | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 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 | E · Potential harm Pattern | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jan 17, 2024 | |
| Nov 20, 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 Jan 17, 2024 | |
| Nov 20, 2023 | 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 Jan 17, 2024 | |
| Nov 20, 2023 | 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 Jan 17, 2024 | |
| Nov 20, 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 Jan 17, 2024 | |
| Nov 20, 2023 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently.Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Jan 17, 2024 | |
| Nov 20, 2023 | 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 | E · Potential harm Pattern | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 2023 | F-0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 2023 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jan 17, 2024 | |
| Nov 20, 2023 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 17, 2024 | |
| Nov 20, 2023 | F-0881 | Implement a program that monitors antibiotic use.Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 2023 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 17, 2024 | |
| Nov 20, 2023 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 17, 2024 | |
| Nov 20, 2023 | F-0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jan 17, 2024 | |
| Nov 20, 2023 | F-0908 | Keep all essential equipment working safely.Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 17, 2024 | |
| Nov 20, 2023 | F-0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 17, 2024 | Complaint |
| Nov 20, 2023 | F-0732 | Post nurse staffing information every day.Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected Jan 17, 2024 | |
| Aug 13, 2021 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | K-0271 | Have exits that are accessible at all times. | D · Potential harm Isolated | Corrected Nov 4, 2021 | |
| Aug 13, 2021 | K-0311 | Have an enclosure around a vertical opening shaft. | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | K-0324 | Provide properly protected cooking facilities. | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | F · Potential harm Widespread | Corrected Nov 4, 2021 | |
| Aug 13, 2021 | K-0352 | Properly install and monitor supervisory attachments on automatic sprinkler systems. | F · Potential harm Widespread | Corrected Nov 4, 2021 | |
| Aug 13, 2021 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | F · Potential harm Widespread | Corrected Nov 4, 2021 | |
| Aug 13, 2021 | K-0541 | Install properly constructed and protected linen or trash chutes. | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | 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 Sep 17, 2021 | |
| Aug 13, 2021 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | F-0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | 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 Sep 17, 2021 | |
| Aug 13, 2021 | F-0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | F-0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedResident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | 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 Sep 17, 2021 | |
| Aug 13, 2021 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | 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 Sep 17, 2021 | |
| Aug 13, 2021 | 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 Sep 17, 2021 | |
| Aug 13, 2021 | F-0687 | Provide appropriate foot care.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | 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 Sep 17, 2021 | |
| Aug 13, 2021 | 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 17, 2021 | |
| Aug 13, 2021 | 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 Sep 17, 2021 | |
| Aug 13, 2021 | F-0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | F-0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | F-0790 | Provide routine and 24-hour emergency dental care for each resident.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | F-0791 | Provide or obtain dental services for each resident.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | 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 Sep 17, 2021 | |
| Aug 13, 2021 | F-0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | 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 | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | F-0840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | 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 | E · Potential harm Pattern | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 17, 2021 | |
| Aug 13, 2021 | F-0919 | Make sure that a working call system is available in each resident's bathroom and bathing area.Environmental Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Sep 17, 2021 | |