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Survey: 2025-11-26 | 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: 2025-11-26 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Survey: 2025-11-26 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2025-11-26 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: D
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: 2025-11-26 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2025-09-11 | Tag F0644 | Resident Assessment and Care Planning Deficiencies | Severity: D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Survey: 2025-09-11 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
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Survey: 2025-09-11 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2025-09-11 | 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: 2025-09-11 | Tag F0804 | Nutrition and Dietary Deficiencies | Severity: D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Survey: 2025-09-11 | 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: 2025-09-11 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2025-09-11 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2025-09-11 | 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: 2025-02-18 | Tag F0550 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2025-02-18 | Tag F0622 | Resident Rights Deficiencies | Severity: D
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.
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Survey: 2025-02-18 | Tag F0661 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
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Survey: 2023-10-03 | Tag F0558 | Resident Rights Deficiencies | Severity: D
Reasonably accommodate the needs and preferences of each resident.
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Survey: 2023-10-03 | Tag F0645 | Resident Assessment and Care Planning Deficiencies | Severity: D
PASARR screening for Mental disorders or Intellectual Disabilities
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Survey: 2023-10-03 | Tag F0553 | Resident Rights Deficiencies | Severity: E
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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Survey: 2023-10-03 | Tag F0584 | Resident Rights Deficiencies | Severity: E
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.
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Survey: 2023-10-03 | 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: 2023-10-03 | Tag F0697 | Quality of Life and Care Deficiencies | Severity: D
Provide safe, appropriate pain management for a resident who requires such services.
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Survey: 2023-10-03 | Tag F0803 | Nutrition and Dietary Deficiencies | Severity: E
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.
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Survey: 2023-10-03 | 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: 2023-10-03 | Tag F0920 | Environmental Deficiencies | Severity: F
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.
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Survey: 2023-10-03 | 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: 2023-10-03 | Tag F0925 | Environmental Deficiencies | Severity: D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Survey: 2024-02-15 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Survey: 2024-02-15 | Tag F0697 | Quality of Life and Care Deficiencies | Severity: D
Provide safe, appropriate pain management for a resident who requires such services.
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Survey: 2024-02-15 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2023-12-06 | Tag F0694 | Quality of Life and Care Deficiencies | Severity: E
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
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Survey: 2023-12-06 | Tag F0755 | Pharmacy Service Deficiencies | Severity: E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Survey: 2023-12-06 | Tag F0837 | Administration Deficiencies | Severity: E
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
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Survey: 2023-09-08 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2023-06-22 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
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Survey: 2023-03-31 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Survey: 2023-03-08 | Tag F0584 | Resident Rights Deficiencies | Severity: D
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.
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Survey: 2023-03-08 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D
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: 2023-03-08 | Tag F0919 | Environmental Deficiencies | Severity: D
Make sure that a working call system is available in each resident's bathroom and bathing area.
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Survey: 2021-12-21 | Tag F0550 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2021-12-21 | Tag F0578 | Resident Rights Deficiencies | Severity: E
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: 2021-12-21 | 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: 2021-12-21 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2021-12-21 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Respond appropriately to all alleged violations.
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Survey: 2021-12-21 | Tag F0623 | Resident Rights Deficiencies | Severity: D
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: 2021-12-21 | Tag F0636 | Resident Assessment and Care Planning Deficiencies | Severity: D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Survey: 2021-12-21 | Tag F0645 | Resident Assessment and Care Planning Deficiencies | Severity: E
PASARR screening for Mental disorders or Intellectual Disabilities
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Survey: 2021-12-21 | Tag F0655 | Resident Assessment and Care Planning Deficiencies | Severity: E
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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Survey: 2021-12-21 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: E
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: 2021-12-21 | 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: 2021-12-21 | Tag F0658 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure services provided by the nursing facility meet professional standards of quality.
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Survey: 2021-12-21 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: D
Provide activities to meet all resident's needs.
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Survey: 2021-12-21 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2021-12-21 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2021-12-21 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: H
Provide enough food/fluids to maintain a resident's health.
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Survey: 2021-12-21 | 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: 2021-12-21 | Tag F0710 | Nursing and Physician Services Deficiencies | Severity: E
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
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Survey: 2021-12-21 | Tag F0711 | Nursing and Physician Services Deficiencies | Severity: E
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: 2021-12-21 | Tag F0740 | Quality of Life and Care Deficiencies | Severity: J
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Survey: 2021-12-21 | 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: 2021-12-21 | Tag F0801 | Nutrition and Dietary Deficiencies | Severity: E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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Survey: 2021-12-21 | Tag F0802 | Nutrition and Dietary Deficiencies | Severity: E
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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Survey: 2021-12-21 | Tag F0803 | Nutrition and Dietary Deficiencies | Severity: E
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.
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Survey: 2021-12-21 | Tag F0804 | Nutrition and Dietary Deficiencies | Severity: E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Survey: 2021-12-21 | Tag F0805 | Nutrition and Dietary Deficiencies | Severity: E
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Survey: 2021-12-21 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: E
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: 2021-12-21 | Tag F0838 | Administration Deficiencies | Severity: F
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: 2021-12-21 | Tag F0839 | Administration Deficiencies | Severity: F
Employ staff that are licensed, certified, or registered in accordance with state laws.
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Survey: 2021-12-21 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: D
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: 2021-12-21 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2021-12-21 | Tag F0921 | Environmental Deficiencies | Severity: D
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
