| Jun 18, 2026 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | D · Potential harm Isolated | Corrected Jul 28, 2026 | |
| Jun 18, 2026 | K-0311 | Have an enclosure around a vertical opening shaft. | F · Potential harm Widespread | Corrected Jul 28, 2026 | |
| Jun 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. | E · Potential harm Pattern | Corrected Jul 28, 2026 | |
| Jun 18, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | D · Potential harm Isolated | Corrected Jul 28, 2026 | |
| Jun 18, 2026 | K-0363 | Install corridor and hallway doors that block smoke. | D · Potential harm Isolated | Corrected Aug 10, 2026 | |
| Jun 18, 2026 | 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 28, 2026 | |
| Jun 18, 2026 | 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 Jul 28, 2026 | |
| Jun 18, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 28, 2026 | |
| Jun 18, 2026 | 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 Jul 28, 2026 | |
| Jun 18, 2026 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jul 28, 2026 | |
| Jun 18, 2026 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jul 28, 2026 | |
| Jun 18, 2026 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 28, 2026 | |
| Jul 22, 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 Aug 21, 2025 | Complaint |
| Apr 10, 2025 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | D · Potential harm Isolated | Corrected May 19, 2025 | |
| Apr 10, 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. | E · Potential harm Pattern | Corrected May 19, 2025 | |
| Apr 10, 2025 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | E · Potential harm Pattern | Corrected May 19, 2025 | |
| Apr 10, 2025 | K-0226 | Have horizontal exits used in accordance with safety requirements. | E · Potential harm Pattern | Corrected May 19, 2025 | |
| Apr 10, 2025 | K-0281 | Install proper backup exit lighting. | E · Potential harm Pattern | Corrected Apr 24, 2025 | |
| Apr 10, 2025 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | F · Potential harm Widespread | Corrected May 19, 2025 | |
| Apr 10, 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. | E · Potential harm Pattern | Corrected May 19, 2025 | |
| Apr 10, 2025 | K-0324 | Provide properly protected cooking facilities. | D · Potential harm Isolated | Corrected May 19, 2025 | |
| Apr 10, 2025 | K-0351 | Install an approved automatic sprinkler system. | E · Potential harm Pattern | Corrected May 19, 2025 | |
| Apr 10, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | F · Potential harm Widespread | Corrected May 19, 2025 | |
| Apr 10, 2025 | K-0363 | Install corridor and hallway doors that block smoke. | D · Potential harm Isolated | Corrected May 19, 2025 | |
| Apr 10, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | D · Potential harm Isolated | Corrected May 19, 2025 | |
| Apr 10, 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 May 19, 2025 | |
| Apr 10, 2025 | 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 May 19, 2025 | |
| Apr 10, 2025 | K-0911 | Meet requirements for the installation and maintenance of electrical systems.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 19, 2025 | |
| Apr 10, 2025 | K-0920 | Ensure proper usage of power strips and extension cords.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 19, 2025 | |
| Apr 10, 2025 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 19, 2025 | |
| Apr 10, 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 19, 2025 | |
| Apr 10, 2025 | F-0677 | Provide care and assistance to perform activities of daily living for any resident who is unable.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 19, 2025 | |
| Apr 10, 2025 | 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 May 19, 2025 | |
| Apr 10, 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 19, 2025 | |
| Apr 10, 2025 | 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 May 19, 2025 | |
| Apr 10, 2025 | 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 | F · Potential harm Widespread | Corrected May 19, 2025 | |
| Feb 12, 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 Mar 13, 2025 | Complaint |
| Feb 12, 2025 | 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 Mar 13, 2025 | Complaint |
| Oct 7, 2024 | 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 Nov 6, 2024 | Complaint |
| Oct 7, 2024 | 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, 2024 | Complaint |
| Oct 7, 2024 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits.Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Nov 6, 2024 | Complaint |
| Oct 7, 2024 | 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, 2024 | Complaint |
| Mar 7, 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. | J · Immediate jeopardy Isolated | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | E · Potential harm Pattern | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | K-0293 | Have properly located and lighted "Exit" signs. | D · Potential harm Isolated | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | K-0324 | Provide properly protected cooking facilities. | D · Potential harm Isolated | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. | F · Potential harm Widespread | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | F · Potential harm Widespread | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | K-0363 | Install corridor and hallway doors that block smoke. | E · Potential harm Pattern | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | D · Potential harm Isolated | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | F · Potential harm Widespread | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | 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 Apr 4, 2024 | |
| Mar 7, 2024 | K-0923 | Have proper medical gas storage and administration areas.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | K-0930 | Ensure proper storage of liquid oxygen.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | 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 Apr 4, 2024 | Complaint |
| Mar 7, 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 | D · Potential harm Isolated | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | 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 Apr 4, 2024 | |
| Mar 7, 2024 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | 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 Apr 4, 2024 | |
| Mar 7, 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 4, 2024 | |
| Mar 7, 2024 | F-0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Apr 4, 2024 | |
| Mar 7, 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 4, 2024 | |
| Mar 7, 2024 | 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 | F · Potential harm Widespread | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Apr 4, 2024 | |
| Mar 7, 2024 | K-0901 | Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.Electrical Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 4, 2024 | |