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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D42 | E10 | F29 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Mar 23, 2026 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Mar 23, 2026 | Health | Health Complaint, Health Standard | 13 | Potential harm | — | Open → |
| Dec 9, 2024 | Fire safety | Fire Safety Standard | 12 | Potential harm | — | Open → |
| Dec 9, 2024 | Health | Health Standard | 21 | Potential harm | — | Open → |
| Oct 16, 2023 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Aug 3, 2023 | Fire safety | Fire Safety Standard | 13 | Potential harm | — | Open → |
| Aug 3, 2023 | Health | Health Standard | 11 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D42 | E10 | F29 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Mar 23, 2026 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Apr 26, 2026 | |
| Mar 23, 2026 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 26, 2026 | |
| Mar 23, 2026 | K-0293 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Stephen Collette | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Nov 9, 2020 |
| Inpatient Consultants of California Inc | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 9, 2025 |
| Leigh Bishop | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 9, 2025 |
| Daniel Deboise | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2015 |
| Debra Long | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 27, 1997 |
| James Maxwell | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2024 |
| Charles Wells | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Chris Bafus | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2016 |
| John Barber | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Jonell Block | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2017 |
| Elizabeth Bornhoft | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2016 |
| Patricia Conaty | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Carlos De Imus | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 2, 2024 |
| Andrew Demott | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2018 |
| William Denholm | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | May 1, 2024 |
| James Droppers | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Demitri Itskos | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Mar 30, 1981 |
| Tom Johnson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Catherine Koszczewski | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2023 |
| Sheila Miranda | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2021 |
| Patrick Thomas | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2025 |
| Charles Wells | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2024 |
| David Wetmore | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jan 1, 2022 |
| Andrew Gorton | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Feb 13, 2012 |
| James Maxwell | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 6, 2023 |
| Charles Wells | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Inpatient Consultants of California Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Sep 18, 2025 |
| Leigh Bishop | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Daniel Deboise | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2015 |
| Charles Wells | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2024 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Spokane Health & Rehabilitation North 6025 Assembly, Spokane, WA 99205 CCN 505322SFF Candidate | 2.6 km | 125 | Mar 5, 2026 | 1311 IJ4 harm | $137k | |
| Emerson Health & Rehabilitation N 1812 Wall Street, Spokane, WA 99205 CCN 505441 | 2.6 km | 99 | Jul 28, 2025 | 59 | — | |
| Spokane Falls Care 6021 North Lidgerwood, Spokane, WA 99207 CCN 505024Abuse icon | 3 km | 100 | Aug 18, 2026 | 1443 harm | $126k | |
| Spokane Veterans Home 222 East Fifth, Spokane, WA 99202 CCN 505509 | 3.6 km | 100 | Feb 20, 2026 | 601 harm | — | |
| South Hill Rehabilitation and Care Center 17 East 8th Avenue, Spokane, WA 99202 CCN 505414 | 4 km | 113 | Dec 5, 2025 | 55 | — | |
| Royal Park Health and Rehabilitation 7411 North Nevada, Spokane, WA 99208 CCN 505379 | 4.5 km | 164 | May 5, 2026 | 847 harm | $112k | |
| Alderwood Manor 3600 East Hartson Avenue, Spokane, WA 99202 CCN 505257 | 5.4 km | 85 | Jul 22, 2026 | 1003 harm | — | |
| Regency at Northpointe 1224 East Westview Court, Spokane, WA 99218 CCN 505369 | 7 km | 120 | Dec 12, 2025 | 291 harm | $8,278 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 505033 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 505033 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Apr 26, 2026 |
| Mar 23, 2026 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 26, 2026 |
| Mar 23, 2026 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 26, 2026 |
| Mar 23, 2026 | K-0355 | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 26, 2026 |
| Mar 23, 2026 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Apr 26, 2026 |
| Mar 23, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Apr 26, 2026 |
| Mar 23, 2026 | 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 Apr 26, 2026 |
| Mar 23, 2026 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Apr 26, 2026 |
| Mar 23, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 7, 2026 |
| Mar 23, 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 May 7, 2026 |
| Mar 23, 2026 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 7, 2026 |
| Mar 23, 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 May 7, 2026 |
| Mar 23, 2026 | 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 May 7, 2026 |
| Mar 23, 2026 | 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 7, 2026 |
| Mar 23, 2026 | 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 May 7, 2026 |
| Mar 23, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 7, 2026 | Complaint |
| Mar 23, 2026 | 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 May 7, 2026 |
| Mar 23, 2026 | F-0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Administration & records | D · Potential harm Isolated | Corrected Jun 23, 2026 |
| Mar 23, 2026 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jun 23, 2026 |
| Mar 23, 2026 | 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 May 7, 2026 |
| Mar 23, 2026 | 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 May 7, 2026 |
| Dec 9, 2024 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 10, 2025 |
| Dec 9, 2024 | E-0007 | Address patient/client population and determine types of services needed. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 10, 2025 |
| Dec 9, 2024 | E-0018 | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 10, 2025 |
| Dec 9, 2024 | E-0020 | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 10, 2025 |
| Dec 9, 2024 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 10, 2025 |
| Dec 9, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jan 10, 2025 |
| Dec 9, 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. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 7, 2024 |
| Dec 9, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 10, 2025 |
| Dec 9, 2024 | K-0521 | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Dec 16, 2024 |
| Dec 9, 2024 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 10, 2025 |
| Dec 9, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Dec 23, 2024 |
| Dec 9, 2024 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 10, 2025 |
| Dec 9, 2024 | 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 Jan 15, 2025 |
| Dec 9, 2024 | F-0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 15, 2025 |
| Dec 9, 2024 | 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 Jan 15, 2025 |
| Dec 9, 2024 | F-0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 15, 2025 |
| Dec 9, 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 Jan 15, 2025 |
| Dec 9, 2024 | 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 Jan 15, 2025 |
| Dec 9, 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 Jan 15, 2025 |
| Dec 9, 2024 | 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 15, 2025 |
| Dec 9, 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 Jan 15, 2025 |
| Dec 9, 2024 | F-0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 15, 2025 |
| Dec 9, 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 Jan 15, 2025 |
| Dec 9, 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 | D · Potential harm Isolated | Corrected Jan 15, 2025 |
| Dec 9, 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 | D · Potential harm Isolated | Corrected Jan 15, 2025 |
| Dec 9, 2024 | F-0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Jan 15, 2025 |
| Dec 9, 2024 | F-0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jan 15, 2025 |
| Dec 9, 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 | D · Potential harm Isolated | Corrected Jan 15, 2025 |
| Dec 9, 2024 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jan 15, 2025 |
| Dec 9, 2024 | 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 Jan 15, 2025 |
| Dec 9, 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 | E · Potential harm Pattern | Corrected Jan 15, 2025 |
| Dec 9, 2024 | F-0881 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 15, 2025 |
| Dec 9, 2024 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 15, 2025 |
| Oct 16, 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 Nov 1, 2023 | Complaint |
| Aug 3, 2023 | E-0036 | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 30, 2023 |
| Aug 3, 2023 | E-0037 | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 30, 2023 |
| Aug 3, 2023 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 30, 2023 |
| Aug 3, 2023 | K-0293 | Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 30, 2023 |
| Aug 3, 2023 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 30, 2023 |
| Aug 3, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 30, 2023 |
| Aug 3, 2023 | K-0362 | Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 30, 2023 |
| Aug 3, 2023 | K-0363 | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 30, 2023 |
| Aug 3, 2023 | K-0374 | Install smoke barrier doors that can resist smoke for at least 20 minutes. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Aug 30, 2023 |
| Aug 3, 2023 | K-0511 | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 30, 2023 |
| Aug 3, 2023 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 30, 2023 |
| Aug 3, 2023 | 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 Aug 30, 2023 |
| Aug 3, 2023 | K-0926 | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 30, 2023 |
| Aug 3, 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 Sep 12, 2023 |
| Aug 3, 2023 | F-0637 | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Sep 12, 2023 |
| Aug 3, 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 Sep 12, 2023 |
| Aug 3, 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 Sep 12, 2023 |
| Aug 3, 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 Sep 12, 2023 |
| Aug 3, 2023 | F-0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Sep 12, 2023 |
| Aug 3, 2023 | F-0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Staffing & supervision | D · Potential harm Isolated | Corrected Sep 12, 2023 |
| Aug 3, 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 Sep 12, 2023 |
| Aug 3, 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 | F · Potential harm Widespread | Corrected Sep 12, 2023 |
| Aug 3, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Sep 12, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 6.16 (case-mix index 1.30).