| Aug 5, 2026 | 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 Jul 24, 2026 | Complaint |
| Aug 5, 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 Sep 1, 2026 | Complaint |
| Aug 5, 2026 | F-0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 1, 2026 | Complaint |
| Aug 5, 2026 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 1, 2026 | Complaint |
| Feb 26, 2026 | F-0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Past non-compliance | Complaint |
| Feb 11, 2026 | 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 Mar 2, 2026 | Complaint |
| Feb 11, 2026 | 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 | D · Potential harm Isolated | Corrected Mar 2, 2026 | Complaint |
| Feb 11, 2026 | 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 2, 2026 | Complaint |
| Feb 11, 2026 | 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 | Corrected Mar 2, 2026 | Complaint |
| Feb 11, 2026 | 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 | D · Potential harm Isolated | Corrected Mar 2, 2026 | Complaint |
| Feb 11, 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 Mar 2, 2026 | Complaint |
| Feb 11, 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 | Corrected Mar 2, 2026 | Complaint |
| Feb 11, 2026 | 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 2, 2026 | Complaint |
| Dec 16, 2025 | 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 Feb 11, 2026 | Complaint |
| Dec 16, 2025 | K-0293 | Have properly located and lighted "Exit" signs. | F · Potential harm Widespread | Corrected Feb 11, 2026 | |
| Dec 16, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | F · Potential harm Widespread | Corrected Feb 11, 2026 | |
| Dec 16, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | F · Potential harm Widespread | Corrected Feb 11, 2026 | |
| Dec 16, 2025 | K-0541 | Install properly constructed and protected linen or trash chutes. | E · Potential harm Pattern | Corrected Apr 18, 2026 | |
| Dec 16, 2025 | K-0711 | Provide a written emergency evacuation plan.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 11, 2026 | |
| Dec 16, 2025 | K-0712 | Have simulated fire drills held at unexpected times.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Feb 11, 2026 | |
| Dec 16, 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 | E · Potential harm Pattern | Corrected Mar 2, 2026 | |
| Dec 16, 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 Feb 11, 2026 | Complaint |
| Dec 16, 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 2, 2026 | |
| Dec 16, 2025 | 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 | F · Potential harm Widespread | Corrected Feb 11, 2026 | Complaint |
| Dec 16, 2025 | F-0637 | Assess the resident when there is a significant change in conditionResident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 11, 2026 | |
| Dec 16, 2025 | 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 Feb 11, 2026 | |
| Dec 16, 2025 | F-0646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 11, 2026 | |
| Dec 16, 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 Feb 11, 2026 | Complaint |
| Dec 16, 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 Feb 11, 2026 | Complaint |
| Dec 16, 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 Feb 11, 2026 | |
| Dec 16, 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 Feb 11, 2026 | |
| Dec 16, 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 Feb 11, 2026 | |
| Dec 16, 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 | D · Potential harm Isolated | Corrected Feb 11, 2026 | |
| Dec 16, 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 Feb 11, 2026 | Complaint |
| Jun 27, 2024 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | E · Potential harm Pattern | Corrected Aug 5, 2024 | |
| Jun 27, 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 Aug 5, 2024 | |
| Jun 27, 2024 | 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 Aug 5, 2024 | |
| Jun 27, 2024 | K-0311 | Have an enclosure around a vertical opening shaft. | E · Potential harm Pattern | Corrected Aug 5, 2024 | |
| Jun 27, 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. | F · Potential harm Widespread | Corrected Aug 5, 2024 | |
| Jun 27, 2024 | K-0324 | Provide properly protected cooking facilities. | F · Potential harm Widespread | Corrected Aug 5, 2024 | |
| Jun 27, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | F · Potential harm Widespread | Corrected Aug 5, 2024 | |
| Jun 27, 2024 | K-0346 | Follow proper procedures when the fire alarm was out of service for more than 4 hours. | F · Potential harm Widespread | Corrected Aug 5, 2024 | |
| Jun 27, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | F · Potential harm Widespread | Corrected Aug 5, 2024 | |
| Jun 27, 2024 | K-0354 | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | F · Potential harm Widespread | Corrected Aug 5, 2024 | |
| Jun 27, 2024 | K-0363 | Install corridor and hallway doors that block smoke. | E · Potential harm Pattern | Corrected Aug 5, 2024 | |
| Jun 27, 2024 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | E · Potential harm Pattern | Corrected Aug 5, 2024 | |
| Jun 27, 2024 | K-0511 | Have properly installed electrical wiring and gas equipment. | E · Potential harm Pattern | Corrected Aug 5, 2024 | |
| Jun 27, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | F · Potential harm Widespread | Corrected Aug 5, 2024 | |
| Jun 27, 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 Aug 5, 2024 | |
| Jun 27, 2024 | K-0753 | Have restrictions on the use of highly flammable decorations.Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 5, 2024 | |
| Jun 27, 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 Aug 5, 2024 | |
| Jun 27, 2024 | K-0781 | Have restrictions on the use of portable space heaters.Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 5, 2024 | |
| Jun 27, 2024 | K-0912 | Have power receptacles that are properly grounded.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 5, 2024 | |
| Jun 27, 2024 | 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 Aug 5, 2024 | |
| Jun 27, 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 Jul 12, 2024 | |
| Jun 27, 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 | E · Potential harm Pattern | Corrected Jul 12, 2024 | |
| Jun 27, 2024 | 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 12, 2024 | |
| Jun 27, 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 | E · Potential harm Pattern | Corrected Jul 12, 2024 | |
| May 27, 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. | F · Potential harm Widespread | Corrected Aug 24, 2021 | |
| May 27, 2021 | K-0311 | Have an enclosure around a vertical opening shaft. | F · Potential harm Widespread | Corrected Aug 17, 2021 | |
| May 27, 2021 | 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 Aug 24, 2021 | |
| May 27, 2021 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | F · Potential harm Widespread | Corrected Aug 24, 2021 | |
| May 27, 2021 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | E · Potential harm Pattern | Corrected Aug 17, 2021 | |
| May 27, 2021 | K-0363 | Install corridor and hallway doors that block smoke. | F · Potential harm Widespread | Corrected Aug 17, 2021 | |
| May 27, 2021 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | F · Potential harm Widespread | Corrected Aug 17, 2021 | |
| May 27, 2021 | K-0511 | Have properly installed electrical wiring and gas equipment. | E · Potential harm Pattern | Corrected Aug 17, 2021 | |
| May 27, 2021 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | F · Potential harm Widespread | Corrected Aug 24, 2021 | |
| May 27, 2021 | 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 Aug 17, 2021 | |
| May 27, 2021 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 24, 2021 | |
| May 27, 2021 | 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 Aug 17, 2021 | |
| May 27, 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 Aug 17, 2021 | |
| May 27, 2021 | 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 Aug 17, 2021 | |
| May 27, 2021 | F-0570 | Assure the security of all personal funds of residents deposited with the facility.Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Aug 17, 2021 | |
| May 27, 2021 | 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 Aug 17, 2021 | |
| May 27, 2021 | 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 Aug 17, 2021 | |
| May 27, 2021 | 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 | E · Potential harm Pattern | Corrected Aug 17, 2021 | |
| May 27, 2021 | 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 Aug 17, 2021 | |
| May 27, 2021 | 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 Aug 17, 2021 | |
| May 27, 2021 | F-0730 | Observe each nurse aide's job performance and give regular training.Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Aug 17, 2021 | |
| May 27, 2021 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 17, 2021 | |
| May 27, 2021 | 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 Aug 17, 2021 | |
| May 27, 2021 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Aug 17, 2021 | |