| Jan 30, 2026 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | D · Potential harm Isolated | Corrected Feb 22, 2026 | |
| Jan 30, 2026 | K-0781 | Have restrictions on the use of portable space heaters.Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Feb 22, 2026 | |
| Jan 30, 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 Mar 8, 2026 | |
| Jan 30, 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 Mar 8, 2026 | |
| Jan 30, 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 | D · Potential harm Isolated | Corrected Mar 8, 2026 | |
| Jan 30, 2026 | F-0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Mar 8, 2026 | |
| Jan 30, 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 Mar 8, 2026 | |
| Jan 30, 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 Mar 8, 2026 | |
| Jan 30, 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 Mar 8, 2026 | |
| Jan 30, 2026 | 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 Mar 8, 2026 | |
| Jan 30, 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 | Corrected Mar 8, 2026 | |
| Jan 30, 2026 | 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 Mar 8, 2026 | |
| Jan 30, 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 Mar 8, 2026 | |
| Jan 30, 2026 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 8, 2026 | |
| Jan 30, 2026 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 8, 2026 | |
| Jan 30, 2026 | K-0100 | Meet other general requirements.Construction Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Feb 22, 2026 | |
| Jan 30, 2026 | K-0324 | Provide properly protected cooking facilities. | C · Minimal Widespread | Corrected Feb 22, 2026 | |
| Mar 5, 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 Mar 30, 2025 | Complaint |
| Mar 5, 2025 | 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 30, 2025 | Complaint |
| Mar 5, 2025 | F-0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 30, 2025 | Complaint |
| Feb 5, 2025 | K-0271 | Have exits that are accessible at all times. | D · Potential harm Isolated | Corrected Mar 30, 2025 | |
| Feb 5, 2025 | K-0919 | Meet requirements for the use of electrical equipment.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Mar 30, 2025 | |
| Feb 5, 2025 | 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 Mar 30, 2025 | |
| Feb 5, 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 30, 2025 | |
| Feb 5, 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 30, 2025 | |
| Feb 5, 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 30, 2025 | |
| Feb 5, 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 | E · Potential harm Pattern | Corrected Mar 30, 2025 | |
| Feb 5, 2025 | 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 Mar 30, 2025 | |
| Feb 5, 2025 | F-0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Mar 30, 2025 | |
| Feb 5, 2025 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 30, 2025 | |
| Feb 5, 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. | B · Minimal Pattern | Corrected Mar 30, 2025 | |
| Feb 5, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | B · Minimal Pattern | Corrected Mar 30, 2025 | |
| Feb 5, 2025 | F-0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected Mar 30, 2025 | |
| Oct 2, 2024 | 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 | E · Potential harm Pattern | Corrected Nov 12, 2024 | Complaint |
| Oct 2, 2024 | F-0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Nov 12, 2024 | Complaint |
| Oct 2, 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 Nov 12, 2024 | Complaint |
| Oct 2, 2024 | 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 Nov 12, 2024 | Complaint |
| Oct 2, 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 Nov 12, 2024 | Complaint |
| Mar 21, 2024 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. | D · Potential harm Isolated | Corrected Apr 29, 2024 | |
| Mar 21, 2024 | K-0754 | Provide properly sized and located linen or trash receptacles.Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 29, 2024 | |
| Mar 21, 2024 | K-0911 | Meet requirements for the installation and maintenance of electrical systems.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 29, 2024 | |
| Mar 21, 2024 | 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 3, 2024 | |
| Mar 21, 2024 | F-0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 3, 2024 | |
| Mar 21, 2024 | 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 3, 2024 | |
| Mar 21, 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 | D · Potential harm Isolated | Corrected May 3, 2024 | |
| Mar 21, 2024 | 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 | E · Potential harm Pattern | Corrected May 3, 2024 | |
| Mar 21, 2024 | 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 May 3, 2024 | |
| Mar 21, 2024 | 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 | E · Potential harm Pattern | Corrected May 3, 2024 | |
| Mar 21, 2024 | F-0697 | Provide safe, appropriate pain management for a resident who requires such services.Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 3, 2024 | |
| Mar 21, 2024 | 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 May 3, 2024 | |
| Mar 21, 2024 | 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 | E · Potential harm Pattern | Corrected May 3, 2024 | |
| Mar 21, 2024 | F-0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected May 3, 2024 | |
| Mar 21, 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 May 3, 2024 | |
| Mar 21, 2024 | K-0100 | Meet other general requirements.Construction Deficiencies · Environment & life safety | C · Minimal Widespread | Corrected Apr 29, 2024 | |
| Mar 21, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | C · Minimal Widespread | Corrected Apr 29, 2024 | |
| Mar 21, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | B · Minimal Pattern | Corrected Apr 29, 2024 | |
| Mar 21, 2024 | 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 | B · Minimal Pattern | Corrected May 3, 2024 | |
| Mar 21, 2024 | F-0638 | Assure that each resident’s assessment is updated at least once every 3 months.Resident Assessment and Care Planning Deficiencies · Clinical care | B · Minimal Pattern | Corrected May 3, 2024 | |