| Jul 12, 2023 | K-0293 | Have properly located and lighted "Exit" signs. | D · Potential harm Isolated | Corrected Nov 7, 2023 | |
| Jul 12, 2023 | K-0541 | Install properly constructed and protected linen or trash chutes. | D · Potential harm Isolated | Corrected Nov 7, 2023 | |
| Jul 12, 2023 | 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 Aug 4, 2023 | |
| Jul 12, 2023 | 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 Aug 4, 2023 | |
| Jul 12, 2023 | 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 Aug 4, 2023 | |
| Jul 12, 2023 | 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 | D · Potential harm Isolated | Corrected Aug 4, 2023 | |
| Jul 12, 2023 | F-0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 4, 2023 | |
| Jul 12, 2023 | 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 4, 2023 | |
| Jul 12, 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 Aug 4, 2023 | |
| Jul 12, 2023 | 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 Aug 4, 2023 | |
| Jul 12, 2023 | F-0759 | Ensure medication error rates are not 5 percent or greater.Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Aug 4, 2023 | |
| Jul 12, 2023 | 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 | E · Potential harm Pattern | Corrected Aug 4, 2023 | |
| Jul 12, 2023 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Aug 4, 2023 | |
| Aug 31, 2022 | K-0200 | Meet other general requirements. | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | 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 Mar 6, 2023 | |
| Aug 31, 2022 | 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 Mar 6, 2023 | |
| Aug 31, 2022 | K-0233 | Install resident room doors of proper design and width. | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0281 | Install proper backup exit lighting. | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0293 | Have properly located and lighted "Exit" signs. | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0311 | Have an enclosure around a vertical opening shaft. | E · Potential harm Pattern | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0324 | Provide properly protected cooking facilities. | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0341 | Install a fire alarm system that can be heard throughout the facility. | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0351 | Install an approved automatic sprinkler system. | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0371 | Have properly sized and located compartments to protect residents from smoke. | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0541 | Install properly constructed and protected linen or trash chutes. | E · Potential harm Pattern | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0711 | Provide a written emergency evacuation plan.Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals.Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0771 | Ensure that smoke control systems are tested and documented in accordance with established engineering principles.Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | 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 Mar 6, 2023 | |
| Aug 31, 2022 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed.Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 6, 2023 | |
| Aug 31, 2022 | F-0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Sep 19, 2022 | |
| Aug 31, 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 Sep 19, 2022 | |
| Aug 31, 2022 | 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 Sep 19, 2022 | |
| Aug 31, 2022 | F-0881 | Implement a program that monitors antibiotic use.Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Sep 19, 2022 | |
| Aug 31, 2022 | F-0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Sep 19, 2022 | |
| Feb 27, 2020 | K-0211 | Keep aisles, corridors, and exits free of obstruction in case of emergency. | D · Potential harm Isolated | Corrected Mar 11, 2021 | |
| Feb 27, 2020 | K-0363 | Install corridor and hallway doors that block smoke. | D · Potential harm Isolated | Corrected Mar 11, 2021 | |
| Feb 27, 2020 | K-0541 | Install properly constructed and protected linen or trash chutes. | D · Potential harm Isolated | Corrected Mar 11, 2021 | |
| Feb 27, 2020 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals.Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Mar 11, 2021 | |
| Feb 27, 2020 | 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 Mar 11, 2021 | |
| Feb 27, 2020 | 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 | D · Potential harm Isolated | Corrected Mar 19, 2020 | |
| Feb 27, 2020 | 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 Mar 19, 2020 | |
| Feb 27, 2020 | 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 Mar 19, 2020 | |
| Feb 27, 2020 | 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 Mar 19, 2020 | |
| Feb 27, 2020 | 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 19, 2020 | |
| Feb 27, 2020 | 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 Mar 19, 2020 | |
| Feb 27, 2020 | 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 | E · Potential harm Pattern | Corrected Mar 19, 2020 | |
| Feb 27, 2020 | 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 19, 2020 | |
| Feb 27, 2020 | 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 | E · Potential harm Pattern | Corrected Mar 19, 2020 | |
| Feb 27, 2020 | 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 19, 2020 | |
| Feb 27, 2020 | F-0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Mar 19, 2020 | |