| Mar 8, 2023 | K-0324 | Provide properly protected cooking facilities. | D · Potential harm Isolated | Corrected May 16, 2023 | |
| Mar 8, 2023 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | F · Potential harm Widespread | Corrected May 16, 2023 | |
| Mar 8, 2023 | K-0363 | Install corridor and hallway doors that block smoke. | E · Potential harm Pattern | Corrected May 16, 2023 | |
| Mar 8, 2023 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | E · Potential harm Pattern | Corrected May 16, 2023 | |
| Mar 8, 2023 | K-0531 | Have elevators that firefighters can control in the event of a fire. | D · Potential harm Isolated | Corrected May 16, 2023 | |
| Mar 8, 2023 | 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 | D · Potential harm Isolated | Corrected May 16, 2023 | |
| Mar 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 Jul 14, 2023 | |
| Mar 8, 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 | E · Potential harm Pattern | Corrected May 16, 2023 | |
| Mar 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 Apr 27, 2023 | |
| Mar 8, 2023 | F-0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Apr 27, 2023 | |
| Mar 8, 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 | D · Potential harm Isolated | Corrected Apr 27, 2023 | |
| Mar 8, 2023 | 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 Apr 27, 2023 | |
| Mar 8, 2023 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Apr 27, 2023 | |
| Mar 8, 2023 | 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 Apr 27, 2023 | |
| Dec 2, 2021 | K-0161 | Use approved construction type or materials.Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 20, 2022 | |
| Dec 2, 2021 | K-0293 | Have properly located and lighted "Exit" signs. | F · Potential harm Widespread | Corrected Jan 20, 2022 | |
| Dec 2, 2021 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | F · Potential harm Widespread | Corrected Apr 1, 2022 | |
| Dec 2, 2021 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | F · Potential harm Widespread | Corrected Apr 1, 2022 | |
| Dec 2, 2021 | K-0363 | Install corridor and hallway doors that block smoke. | E · Potential harm Pattern | Corrected Apr 1, 2022 | |
| Dec 2, 2021 | K-0511 | Have properly installed electrical wiring and gas equipment. | F · Potential harm Widespread | Corrected Apr 1, 2022 | |
| Dec 2, 2021 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | F · Potential harm Widespread | Corrected Jan 20, 2022 | |
| Dec 2, 2021 | K-0531 | Have elevators that firefighters can control in the event of a fire. | D · Potential harm Isolated | Corrected Jan 20, 2022 | |
| Dec 2, 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 Apr 1, 2022 | |
| Dec 2, 2021 | K-0916 | Have a battery powered remote alarm panel in a location accessible by operating personnel.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 1, 2022 | |
| Dec 2, 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 | E · Potential harm Pattern | Corrected Jan 20, 2022 | |
| Dec 2, 2021 | 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 Jan 14, 2022 | |
| Dec 2, 2021 | F-0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 14, 2022 | |
| Dec 2, 2021 | 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 Jan 14, 2022 | |
| Dec 2, 2021 | 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 Jan 14, 2022 | |
| Nov 2, 2018 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | F · Potential harm Widespread | Corrected Dec 28, 2018 | |
| Nov 2, 2018 | 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. | F · Potential harm Widespread | Corrected Dec 28, 2018 | |
| Nov 2, 2018 | 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 Dec 28, 2018 | |
| Nov 2, 2018 | K-0324 | Provide properly protected cooking facilities. | F · Potential harm Widespread | Corrected Dec 28, 2018 | |
| Nov 2, 2018 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | F · Potential harm Widespread | Corrected Dec 28, 2018 | |
| Nov 2, 2018 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | F · Potential harm Widespread | Corrected Dec 28, 2018 | |
| Nov 2, 2018 | K-0363 | Install corridor and hallway doors that block smoke. | F · Potential harm Widespread | Corrected Dec 28, 2018 | |
| Nov 2, 2018 | K-0364 | Install properly constructed windows in hallway walls or doors. | F · Potential harm Widespread | Corrected Dec 28, 2018 | |
| Nov 2, 2018 | 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 Dec 28, 2018 | |
| Nov 2, 2018 | K-0753 | Have restrictions on the use of highly flammable decorations.Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 28, 2018 | |
| Nov 2, 2018 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 28, 2018 | |
| Nov 2, 2018 | K-0923 | Have proper medical gas storage and administration areas.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 28, 2018 | |
| Nov 2, 2018 | 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 14, 2018 | |
| Nov 2, 2018 | 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 Dec 14, 2018 | |
| Nov 2, 2018 | 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 14, 2018 | |
| Nov 2, 2018 | F-0583 | Keep residents' personal and medical records private and confidential.Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 14, 2018 | |
| Nov 2, 2018 | 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 14, 2018 | |
| Nov 2, 2018 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money.Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 14, 2018 | |
| Nov 2, 2018 | 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 Dec 14, 2018 | |
| Nov 2, 2018 | 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 14, 2018 | |
| Nov 2, 2018 | 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 14, 2018 | |
| Nov 2, 2018 | 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 14, 2018 | |
| Nov 2, 2018 | F-0679 | Provide activities to meet all resident's needs.Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 14, 2018 | |
| Nov 2, 2018 | 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 Dec 14, 2018 | |
| Nov 2, 2018 | 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 Dec 14, 2018 | |
| Nov 2, 2018 | 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 Dec 14, 2018 | |
| Nov 2, 2018 | 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 Dec 14, 2018 | |
| Nov 2, 2018 | 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 14, 2018 | |
| Nov 2, 2018 | 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 Dec 14, 2018 | |
| Nov 2, 2018 | 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 Dec 14, 2018 | |
| Nov 2, 2018 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Dec 14, 2018 | |