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Survey: 2025-09-23 | Tag F0550 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2025-09-23 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Survey: 2025-09-23 | Tag F0695 | Quality of Life and Care Deficiencies | Severity: D
Provide safe and appropriate respiratory care for a resident when needed.
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Survey: 2025-09-23 | Tag F0756 | Pharmacy Service Deficiencies | Severity: D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Survey: 2025-09-23 | Tag F0814 | Nutrition and Dietary Deficiencies | Severity: F
Dispose of garbage and refuse properly.
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Survey: 2025-09-23 | Tag F0838 | Administration Deficiencies | Severity: E
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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Survey: 2025-09-23 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Survey: 2025-09-23 | Tag F0868 | Administration Deficiencies | Severity: F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Survey: 2025-09-23 | Tag F0940 | Administration Deficiencies | Severity: F
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
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Survey: 2025-09-23 | Tag F0580 | Resident Rights Deficiencies | Severity: D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Survey: 2025-09-23 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: E
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2025-09-23 | Tag F0678 | Quality of Life and Care Deficiencies | Severity: J
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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Survey: 2025-09-23 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2025-09-23 | Tag F0685 | Quality of Life and Care Deficiencies | Severity: D
Assist a resident in gaining access to vision and hearing services.
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Survey: 2025-09-23 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2025-09-23 | Tag F0725 | Nursing and Physician Services Deficiencies | Severity: E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Survey: 2025-09-23 | Tag F0761 | Pharmacy Service Deficiencies | Severity: E
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.
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Survey: 2025-09-23 | Tag F0773 | Administration Deficiencies | Severity: D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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Survey: 2025-09-23 | Tag F0813 | Nutrition and Dietary Deficiencies | Severity: E
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Survey: 2025-09-23 | Tag F0835 | Administration Deficiencies | Severity: F
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Survey: 2025-09-23 | Tag F0921 | Environmental Deficiencies | Severity: F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Survey: 2023-04-06 | Tag F0623 | Resident Rights Deficiencies | Severity: C
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Survey: 2023-04-06 | Tag F0745 | Quality of Life and Care Deficiencies | Severity: D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Survey: 2023-04-06 | Tag F0921 | Environmental Deficiencies | Severity: F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Survey: 2023-04-06 | Tag F0926 | Environmental Deficiencies | Severity: F
Have policies on smoking.
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Survey: 2023-04-06 | Tag F0550 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2023-04-06 | Tag F0645 | Resident Assessment and Care Planning Deficiencies | Severity: D
PASARR screening for Mental disorders or Intellectual Disabilities
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Survey: 2023-04-06 | Tag F0761 | Pharmacy Service Deficiencies | Severity: F
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.
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Survey: 2024-01-31 | Tag F0730 | Nursing and Physician Services Deficiencies | Severity: C
Observe each nurse aide's job performance and give regular training.
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Survey: 2024-01-31 | Tag F0732 | Nursing and Physician Services Deficiencies | Severity: C
Post nurse staffing information every day.
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Survey: 2023-12-05 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2023-08-15 | Tag F0921 | Environmental Deficiencies | Severity: E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Survey: 2023-07-26 | Tag F0921 | Environmental Deficiencies | Severity: E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Survey: 2023-07-11 | Tag F0558 | Resident Rights Deficiencies | Severity: D
Reasonably accommodate the needs and preferences of each resident.
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Survey: 2023-07-11 | Tag F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Protect each resident from the wrongful use of the resident's belongings or money.
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Survey: 2023-07-11 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2023-07-11 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2019-10-09 | Tag F0553 | Resident Rights Deficiencies | Severity: D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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Survey: 2019-10-09 | Tag F0577 | Resident Rights Deficiencies | Severity: C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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Survey: 2019-10-09 | Tag F0578 | Resident Rights Deficiencies | Severity: D
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.
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Survey: 2019-10-09 | Tag F0582 | Resident Rights Deficiencies | Severity: D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Survey: 2019-10-09 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Survey: 2019-10-09 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: E
Ensure each resident receives an accurate assessment.
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Survey: 2019-10-09 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Survey: 2019-10-09 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Survey: 2019-10-09 | Tag F0660 | Resident Assessment and Care Planning Deficiencies | Severity: D
Plan the resident's discharge to meet the resident's goals and needs.
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Survey: 2019-10-09 | Tag F0676 | Quality of Life and Care Deficiencies | Severity: D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Survey: 2019-10-09 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2019-10-09 | Tag F0685 | Quality of Life and Care Deficiencies | Severity: D
Assist a resident in gaining access to vision and hearing services.
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Survey: 2019-10-09 | Tag F0688 | Quality of Life and Care Deficiencies | Severity: D
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.
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Survey: 2019-10-09 | Tag F0711 | Nursing and Physician Services Deficiencies | Severity: B
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
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Survey: 2019-10-09 | Tag F0730 | Nursing and Physician Services Deficiencies | Severity: D
Observe each nurse aide's job performance and give regular training.
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Survey: 2019-10-09 | Tag F0732 | Nursing and Physician Services Deficiencies | Severity: C
Post nurse staffing information every day.
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Survey: 2019-10-09 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2019-10-09 | Tag F0758 | Pharmacy Service Deficiencies | Severity: D
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.
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Survey: 2019-10-09 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2019-10-09 | Tag F0838 | Administration Deficiencies | Severity: C
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
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Survey: 2019-10-09 | Tag F0868 | Administration Deficiencies | Severity: F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Survey: 2019-10-09 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2019-10-09 | Tag F0921 | Environmental Deficiencies | Severity: E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
