| May 21, 2026 | K-0293 | Have properly located and lighted "Exit" signs. | E · Potential harm Pattern | Corrected Jul 23, 2026 | |
| May 21, 2026 | K-0324 | Provide properly protected cooking facilities. | F · Potential harm Widespread | Corrected Jul 23, 2026 | |
| May 21, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | F · Potential harm Widespread | Corrected Jul 23, 2026 | |
| May 21, 2026 | K-0363 | Install corridor and hallway doors that block smoke. | E · Potential harm Pattern | Corrected Jul 23, 2026 | |
| May 21, 2026 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | F · Potential harm Widespread | Corrected Jul 23, 2026 | |
| May 21, 2026 | K-0928 | Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 23, 2026 | |
| May 21, 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 10, 2026 | |
| May 21, 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 Jul 10, 2026 | |
| May 21, 2026 | F-0558 | Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 10, 2026 | |
| May 21, 2026 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 10, 2026 | |
| May 21, 2026 | 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 Jul 17, 2026 | |
| May 21, 2026 | 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 | D · Potential harm Isolated | Corrected Jul 3, 2026 | |
| May 21, 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 Jul 10, 2026 | |
| May 21, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jul 10, 2026 | |
| May 21, 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 Jul 10, 2026 | |
| May 21, 2026 | 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 | E · Potential harm Pattern | Corrected Jul 10, 2026 | |
| May 21, 2026 | 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 Jul 10, 2026 | |
| May 21, 2026 | 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 | E · Potential harm Pattern | Corrected Jul 10, 2026 | |
| May 21, 2026 | F-0730 | Observe each nurse aide's job performance and give regular training.Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 10, 2026 | |
| May 21, 2026 | F-0732 | Post nurse staffing information every day.Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jul 10, 2026 | |
| May 21, 2026 | 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 Jul 10, 2026 | |
| May 21, 2026 | 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 Jul 10, 2026 | |
| May 21, 2026 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 10, 2026 | |
| May 21, 2026 | F-0881 | Implement a program that monitors antibiotic use.Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jul 10, 2026 | |
| May 21, 2026 | 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 | E · Potential harm Pattern | Corrected Jul 3, 2026 | |
| May 21, 2026 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jul 10, 2026 | |
| May 21, 2026 | F-0908 | Keep all essential equipment working safely.Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 10, 2026 | |
| May 21, 2026 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jul 10, 2026 | |
| Apr 10, 2025 | E-0015 | Address subsistence needs for staff and patients.Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 14, 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. | F · Potential harm Widespread | Corrected May 2, 2025 | |
| Apr 10, 2025 | K-0225 | Have stairways and smokeproof enclosures used as exits that meet safety requirements. | F · Potential harm Widespread | Corrected Apr 11, 2025 | |
| Apr 10, 2025 | K-0281 | Install proper backup exit lighting. | F · Potential harm Widespread | Corrected Apr 11, 2025 | |
| Apr 10, 2025 | K-0293 | Have properly located and lighted "Exit" signs. | F · Potential harm Widespread | Corrected Apr 14, 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. | F · Potential harm Widespread | Corrected Apr 16, 2025 | |
| Apr 10, 2025 | K-0363 | Install corridor and hallway doors that block smoke. | F · Potential harm Widespread | Corrected Apr 16, 2025 | |
| Apr 10, 2025 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. | F · Potential harm Widespread | Corrected Apr 14, 2025 | |
| Apr 10, 2025 | K-0532 | Have a properly installed and maintained dumbwaiter or escalator. | F · Potential harm Widespread | Corrected Jul 10, 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 Apr 30, 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 | F · Potential harm Widespread | Corrected Apr 25, 2025 | |
| Apr 10, 2025 | K-0923 | Have proper medical gas storage and administration areas.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 11, 2025 | |
| Apr 10, 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 Jun 19, 2025 | Complaint |
| Apr 10, 2025 | 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 | D · Potential harm Isolated | Corrected May 20, 2025 | |
| Apr 10, 2025 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 20, 2025 | |
| Apr 10, 2025 | 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 May 20, 2025 | |
| Apr 10, 2025 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 20, 2025 | |
| Apr 10, 2025 | F-0660 | Plan the resident's discharge to meet the resident's goals and needs.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 20, 2025 | Complaint |
| Apr 10, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 20, 2025 | |
| Apr 10, 2025 | 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 | E · Potential harm Pattern | Corrected May 20, 2025 | Complaint |
| Apr 10, 2025 | F-0730 | Observe each nurse aide's job performance and give regular training.Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 20, 2025 | |
| Apr 10, 2025 | F-0732 | Post nurse staffing information every day.Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected May 20, 2025 | |
| Apr 10, 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 May 20, 2025 | Complaint |
| 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 20, 2025 | |
| Apr 10, 2025 | F-0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 20, 2025 | |
| Apr 10, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected May 20, 2025 | |
| Apr 10, 2025 | 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 Jun 19, 2025 | |
| Apr 10, 2025 | 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 May 20, 2025 | |
| Apr 10, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected May 20, 2025 | |
| Apr 10, 2025 | 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 | D · Potential harm Isolated | Corrected May 20, 2025 | |
| Apr 10, 2025 | 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 May 1, 2025 | |
| Apr 10, 2025 | F-0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected May 20, 2025 | |
| Apr 10, 2025 | F-0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 20, 2025 | |
| Apr 10, 2025 | F-0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Apr 12, 2025 | |
| Apr 10, 2025 | F-0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Apr 11, 2025 | |
| Dec 8, 2023 | K-0324 | Provide properly protected cooking facilities. | D · Potential harm Isolated | Corrected Dec 28, 2023 | |
| Dec 8, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | E · Potential harm Pattern | Corrected Dec 28, 2023 | |
| Dec 8, 2023 | K-0363 | Install corridor and hallway doors that block smoke. | E · Potential harm Pattern | Corrected Dec 28, 2023 | |
| Dec 8, 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 28, 2023 | |
| Dec 8, 2023 | K-0911 | Meet requirements for the installation and maintenance of electrical systems.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 28, 2023 | |
| Dec 8, 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 28, 2023 | |
| Dec 8, 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 | D · Potential harm Isolated | Corrected Dec 28, 2023 | |
| Dec 8, 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 | D · Potential harm Isolated | Corrected Dec 28, 2023 | |
| Dec 8, 2023 | F-0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 28, 2023 | |
| Dec 8, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 28, 2023 | |
| Dec 8, 2023 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 28, 2023 | |
| Dec 8, 2023 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 28, 2023 | Complaint |
| Dec 8, 2023 | 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 Dec 28, 2023 | |
| Dec 8, 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 | D · Potential harm Isolated | Corrected Dec 28, 2023 | Complaint |
| Dec 8, 2023 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 28, 2023 | |