| Aug 31, 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 | No plan of correction | Complaint |
| Aug 31, 2026 | F-0610 | Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | No plan of correction | Complaint |
| Aug 31, 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 | No plan of correction | Complaint |
| Aug 31, 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 | No plan of correction | Complaint |
| Apr 9, 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 May 1, 2026 | Complaint |
| Aug 7, 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 Aug 29, 2025 | Complaint |
| Aug 7, 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 29, 2025 | Complaint |
| Aug 7, 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 29, 2025 | Complaint |
| Aug 7, 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 Aug 29, 2025 | Complaint |
| Aug 7, 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 | E · Potential harm Pattern | Corrected Aug 29, 2025 | Complaint |
| Feb 6, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | F · Potential harm Widespread | Corrected Mar 7, 2025 | |
| Feb 6, 2025 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | F · Potential harm Widespread | Corrected Mar 7, 2025 | |
| Feb 6, 2025 | K-0712 | Have simulated fire drills held at unexpected times.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 7, 2025 | |
| Feb 6, 2025 | 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 | F · Potential harm Widespread | Corrected Mar 7, 2025 | |
| Feb 6, 2025 | 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 | Waiver granted Aug 24, 2025 | |
| Feb 6, 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 Mar 7, 2025 | |
| Feb 6, 2025 | F-0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2025 | |
| Feb 6, 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 Mar 7, 2025 | |
| Feb 6, 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 Mar 7, 2025 | |
| Feb 6, 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 Mar 7, 2025 | |
| Feb 6, 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 Mar 7, 2025 | |
| Feb 6, 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 Mar 7, 2025 | |
| Feb 6, 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 Mar 7, 2025 | |
| Feb 6, 2025 | F-0770 | Provide timely, quality laboratory services/tests to meet the needs of residents.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 7, 2025 | |
| Feb 6, 2025 | F-0791 | Provide or obtain dental services for each resident.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 7, 2025 | |
| Feb 6, 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 Mar 7, 2025 | |
| Feb 6, 2025 | F-0926 | Have policies on smoking.Environmental Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Mar 7, 2025 | |
| May 7, 2024 | 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 | Past non-compliance Apr 14, 2024 | Complaint |
| Oct 19, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | F · Potential harm Widespread | Corrected Nov 20, 2023 | |
| Oct 19, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | F · Potential harm Widespread | Corrected Nov 20, 2023 | |
| Oct 19, 2023 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | E · Potential harm Pattern | Corrected Nov 20, 2023 | |
| Oct 19, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | F · Potential harm Widespread | Corrected Nov 20, 2023 | |
| Oct 19, 2023 | K-0753 | Have restrictions on the use of highly flammable decorations.Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 20, 2023 | |
| Oct 19, 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 Nov 20, 2023 | |
| Oct 19, 2023 | K-0920 | Ensure proper usage of power strips and extension cords.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Nov 20, 2023 | |
| Oct 19, 2023 | 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 | D · Potential harm Isolated | Corrected Nov 20, 2023 | |
| Oct 19, 2023 | 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 Nov 20, 2023 | |
| Oct 19, 2023 | 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 Nov 20, 2023 | |
| Oct 19, 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 Nov 20, 2023 | |
| Oct 19, 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 Nov 20, 2023 | |
| Oct 19, 2023 | 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 Nov 20, 2023 | |
| Oct 19, 2023 | 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 Nov 20, 2023 | |
| Oct 19, 2023 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Nov 20, 2023 | |
| Oct 19, 2023 | 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 | D · Potential harm Isolated | Corrected Nov 20, 2023 | |
| Oct 19, 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 | F · Potential harm Widespread | Corrected Nov 20, 2023 | |
| Oct 19, 2023 | 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 | D · Potential harm Isolated | Corrected Nov 20, 2023 | |
| Sep 16, 2021 | 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. | D · Potential harm Isolated | Corrected Dec 13, 2021 | |
| Sep 16, 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 Dec 13, 2021 | |
| Sep 16, 2021 | K-0343 | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | F · Potential harm Widespread | Corrected Dec 13, 2021 | |
| Sep 16, 2021 | K-0351 | Install an approved automatic sprinkler system. | D · Potential harm Isolated | Corrected Dec 13, 2021 | |
| Sep 16, 2021 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | E · Potential harm Pattern | Corrected Dec 13, 2021 | |
| Sep 16, 2021 | K-0712 | Have simulated fire drills held at unexpected times.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 13, 2021 | |
| Sep 16, 2021 | K-0920 | Ensure proper usage of power strips and extension cords.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 13, 2021 | |
| Sep 16, 2021 | K-0923 | Have proper medical gas storage and administration areas.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Dec 13, 2021 | |
| Sep 16, 2021 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 13, 2021 | |
| Sep 16, 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 | E · Potential harm Pattern | Corrected Dec 13, 2021 | |
| Sep 16, 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 Dec 13, 2021 | |
| Sep 16, 2021 | 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 Dec 13, 2021 | |
| Sep 16, 2021 | 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 Dec 13, 2021 | |