| Nov 17, 2025 | K-0161 | Use approved construction type or materials.Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 3, 2025 | |
| Nov 17, 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 Dec 3, 2025 | |
| Nov 17, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | E · Potential harm Pattern | Corrected Dec 3, 2025 | |
| Nov 17, 2025 | 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 | E · Potential harm Pattern | Corrected Dec 3, 2025 | |
| Nov 17, 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 Dec 3, 2025 | |
| Nov 17, 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 Dec 3, 2025 | |
| Nov 17, 2025 | F-0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 3, 2025 | |
| Nov 17, 2025 | F-0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 3, 2025 | |
| Nov 17, 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 Dec 3, 2025 | Complaint |
| Nov 17, 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 Dec 3, 2025 | |
| Nov 17, 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 Dec 3, 2025 | |
| Nov 17, 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 Dec 3, 2025 | |
| Nov 17, 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 3, 2025 | Complaint |
| Nov 17, 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 3, 2025 | |
| Nov 17, 2025 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Dec 3, 2025 | |
| Nov 17, 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 3, 2025 | |
| Nov 17, 2025 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Dec 3, 2025 | |
| Nov 17, 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 | F · Potential harm Widespread | Corrected Dec 9, 2025 | Complaint |
| Jun 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 | D · Potential harm Isolated | Corrected Jul 16, 2025 | Complaint |
| Jun 14, 2024 | 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 Jul 11, 2024 | Complaint |
| Mar 8, 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 Feb 8, 2024 | Complaint |
| Mar 8, 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. | E · Potential harm Pattern | Corrected Apr 3, 2024 | |
| Mar 8, 2024 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | E · Potential harm Pattern | Corrected Apr 3, 2024 | |
| Mar 8, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | E · Potential harm Pattern | Corrected Apr 3, 2024 | |
| Mar 8, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | E · Potential harm Pattern | Corrected Apr 3, 2024 | |
| Mar 8, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | E · Potential harm Pattern | Corrected Apr 3, 2024 | |
| Mar 8, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. | E · Potential harm Pattern | Corrected Apr 3, 2024 | |
| Mar 8, 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 3, 2024 | |
| Mar 8, 2024 | 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 Apr 3, 2024 | |
| Mar 8, 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 3, 2024 | |
| Mar 8, 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 3, 2024 | |
| Mar 8, 2024 | F-0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 3, 2024 | |
| Mar 8, 2024 | F-0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 3, 2024 | Complaint |
| Mar 8, 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 | E · Potential harm Pattern | Corrected Apr 3, 2024 | |
| Mar 8, 2024 | 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 Apr 3, 2024 | |
| Mar 8, 2024 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 3, 2024 | |
| Apr 11, 2022 | F-0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies · Medication management | K · Immediate jeopardy Pattern | Corrected May 18, 2022 | |
| Apr 11, 2022 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing.Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jul 21, 2022 | |
| Apr 11, 2022 | 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 May 18, 2022 | |
| Apr 11, 2022 | E-0041 | Implement emergency and standby power systems.Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected May 18, 2022 | |
| Apr 11, 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 May 18, 2022 | |
| Apr 11, 2022 | K-0293 | Have properly located and lighted "Exit" signs. | E · Potential harm Pattern | Corrected May 18, 2022 | |
| Apr 11, 2022 | K-0324 | Provide properly protected cooking facilities. | E · Potential harm Pattern | Corrected May 18, 2022 | |
| Apr 11, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | F · Potential harm Widespread | Corrected May 18, 2022 | |
| Apr 11, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | F · Potential harm Widespread | Corrected Aug 8, 2022 | |
| Apr 11, 2022 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | E · Potential harm Pattern | Corrected May 18, 2022 | |
| Apr 11, 2022 | K-0511 | Have properly installed electrical wiring and gas equipment. | E · Potential harm Pattern | Corrected May 18, 2022 | |
| Apr 11, 2022 | K-0531 | Have elevators that firefighters can control in the event of a fire. | F · Potential harm Widespread | Corrected May 18, 2022 | |
| Apr 11, 2022 | K-0712 | Have simulated fire drills held at unexpected times.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 18, 2022 | |
| Apr 11, 2022 | 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 May 18, 2022 | |
| Apr 11, 2022 | 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 May 18, 2022 | |
| Apr 11, 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 May 18, 2022 | |
| Apr 11, 2022 | 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 May 18, 2022 | |
| Apr 11, 2022 | 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 May 18, 2022 | |
| Apr 11, 2022 | F-0567 | Honor the resident's right to manage his or her financial affairs.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 18, 2022 | |
| Apr 11, 2022 | F-0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 18, 2022 | |
| Apr 11, 2022 | F-0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 18, 2022 | |
| Apr 11, 2022 | F-0571 | Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 18, 2022 | |
| Apr 11, 2022 | 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 May 18, 2022 | |
| Apr 11, 2022 | F-0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 18, 2022 | |
| Apr 11, 2022 | 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 May 18, 2022 | |
| Apr 11, 2022 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2022 | |
| Apr 11, 2022 | 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 | E · Potential harm Pattern | Corrected May 18, 2022 | |
| Apr 11, 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 | E · Potential harm Pattern | Corrected May 18, 2022 | |
| Apr 11, 2022 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 18, 2022 | |
| Apr 11, 2022 | F-0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2022 | |
| Apr 11, 2022 | 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 | E · Potential harm Pattern | Corrected May 18, 2022 | |
| Apr 11, 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 | D · Potential harm Isolated | Corrected May 18, 2022 | |
| Apr 11, 2022 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2022 | |
| Apr 11, 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 Jul 21, 2022 | |
| Apr 11, 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 | E · Potential harm Pattern | Corrected May 18, 2022 | |
| Apr 11, 2022 | 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 May 18, 2022 | |
| Apr 11, 2022 | 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 18, 2022 | |
| Apr 11, 2022 | 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 May 18, 2022 | |
| Apr 11, 2022 | 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 May 18, 2022 | |
| Apr 11, 2022 | F-0742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2022 | |
| Apr 11, 2022 | 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 May 18, 2022 | |
| Apr 11, 2022 | F-0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 18, 2022 | |
| Apr 11, 2022 | 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 May 18, 2022 | |
| Apr 11, 2022 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents.Administration Deficiencies · Administration & records | E · Potential harm Pattern | Corrected May 18, 2022 | |
| Apr 11, 2022 | F-0825 | Provide or get specialized rehabilitative services as required for a resident.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 18, 2022 | |
| Apr 11, 2022 | 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 | E · Potential harm Pattern | Corrected May 18, 2022 | |
| Apr 11, 2022 | 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 May 18, 2022 | |
| Apr 11, 2022 | F-0850 | Hire a qualified full-time social worker in a facility with more than 120 beds.Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected May 18, 2022 | |
| Apr 11, 2022 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected May 18, 2022 | |
| Apr 11, 2022 | F-0574 | The resident has the right to receive notices in a format and a language he or she understands.Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected May 18, 2022 | |
| Apr 11, 2022 | F-0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.Resident Rights Deficiencies · Resident rights & abuse/neglect | C · Minimal Widespread | Corrected May 18, 2022 | |
| Apr 11, 2022 | F-0732 | Post nurse staffing information every day.Nursing and Physician Services Deficiencies · Staffing & supervision | C · Minimal Widespread | Corrected May 18, 2022 | |
| Apr 11, 2022 | F-0888 | Ensure staff are vaccinated for COVID-19Infection Control Deficiencies · Infection prevention | C · Minimal Widespread | Corrected May 18, 2022 | |