| May 29, 2026 | K-0293 | Have properly located and lighted "Exit" signs. | D · Potential harm Isolated | Corrected Jul 31, 2026 | |
| May 29, 2026 | K-0351 | Install an approved automatic sprinkler system. | E · Potential harm Pattern | Corrected Jul 31, 2026 | |
| May 29, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | E · Potential harm Pattern | Corrected Jul 31, 2026 | |
| May 29, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | E · Potential harm Pattern | Corrected Jul 31, 2026 | |
| May 29, 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 | D · Potential harm Isolated | Corrected Jul 31, 2026 | Complaint |
| May 29, 2026 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 31, 2026 | |
| May 29, 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 31, 2026 | |
| May 29, 2026 | 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 Jul 31, 2026 | |
| May 29, 2026 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months.Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Jul 31, 2026 | |
| May 29, 2026 | 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 Jul 31, 2026 | |
| May 29, 2026 | 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 Jul 31, 2026 | |
| May 29, 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 31, 2026 | |
| May 29, 2026 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jul 31, 2026 | |
| May 29, 2026 | F-0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Jul 31, 2026 | |
| May 29, 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 31, 2026 | |
| May 29, 2026 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 31, 2026 | |
| May 29, 2026 | F-0814 | Dispose of garbage and refuse properly.Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 31, 2026 | |
| May 29, 2026 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jul 31, 2026 | |
| May 29, 2026 | F-0924 | Put firmly secured handrails on each side of hallways.Environmental Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 31, 2026 | |
| Oct 30, 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 | D · Potential harm Isolated | Corrected Nov 19, 2025 | Complaint |
| Aug 12, 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 | J · Immediate jeopardy Isolated | Corrected Sep 25, 2025 | Complaint |
| Aug 12, 2025 | F-0610 | Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Sep 25, 2025 | Complaint |
| Aug 12, 2025 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently.Administration Deficiencies · Administration & records | J · Immediate jeopardy Isolated | Corrected Sep 25, 2025 | Complaint |
| Aug 12, 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 Sep 25, 2025 | Complaint |
| Jul 2, 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 | E · Potential harm Pattern | Corrected Aug 27, 2025 | Complaint |
| Jul 2, 2025 | 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 Aug 27, 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 27, 2025 | Complaint |
| Nov 1, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies · Resident rights & abuse/neglect | F · Potential harm Widespread | Corrected Nov 4, 2024 | |
| Nov 1, 2024 | 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 Dec 2, 2024 | |
| Nov 1, 2024 | 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 Dec 2, 2024 | |
| Nov 1, 2024 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 2, 2024 | |
| Nov 1, 2024 | 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 Dec 2, 2024 | |
| Nov 1, 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 | D · Potential harm Isolated | Corrected Dec 2, 2024 | |
| Nov 1, 2024 | 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 Dec 2, 2024 | |
| Nov 1, 2024 | 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 Dec 2, 2024 | |
| Nov 1, 2024 | 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 | F · Potential harm Widespread | Corrected Dec 2, 2024 | |
| Aug 19, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Aug 19, 2024 | Complaint |
| Aug 19, 2024 | F-0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Resident Rights Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Aug 19, 2024 | Complaint |
| Aug 19, 2024 | F-0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.Resident Rights Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Aug 19, 2024 | Complaint |
| Aug 19, 2024 | 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 | J · Immediate jeopardy Isolated | Corrected Aug 19, 2024 | Complaint |
| Aug 19, 2024 | F-0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | J · Immediate jeopardy Isolated | Corrected Aug 19, 2024 | Complaint |
| Aug 19, 2024 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently.Administration Deficiencies · Administration & records | J · Immediate jeopardy Isolated | Corrected Aug 19, 2024 | Complaint |
| Nov 30, 2022 | K-0293 | Have properly located and lighted "Exit" signs. | D · Potential harm Isolated | Corrected Jan 30, 2023 | |
| Nov 30, 2022 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | D · Potential harm Isolated | Corrected Jan 30, 2023 | |
| Nov 30, 2022 | K-0351 | Install an approved automatic sprinkler system. | E · Potential harm Pattern | Corrected Jan 30, 2023 | |
| Nov 30, 2022 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | D · Potential harm Isolated | Corrected Jan 30, 2023 | |
| Nov 30, 2022 | K-0363 | Install corridor and hallway doors that block smoke. | E · Potential harm Pattern | Corrected Jan 30, 2023 | |
| Nov 30, 2022 | K-0911 | Meet requirements for the installation and maintenance of electrical systems.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 30, 2023 | |
| Nov 30, 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 Dec 30, 2022 | |
| Nov 30, 2022 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 30, 2022 | |
| Nov 30, 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 Dec 30, 2022 | |
| Nov 30, 2022 | 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 Dec 30, 2022 | |
| Nov 30, 2022 | F-0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Dec 30, 2022 | |
| Nov 30, 2022 | F-0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Dec 30, 2022 | |