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Survey: 2025-03-28 | 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: 2025-03-28 | Tag F0554 | Resident Rights Deficiencies | Severity: D
Allow residents to self-administer drugs if determined clinically appropriate.
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Survey: 2025-03-28 | 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: 2025-03-28 | Tag F0585 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Survey: 2025-03-28 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
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: 2025-03-28 | Tag F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Survey: 2025-03-28 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Survey: 2025-03-28 | Tag F0644 | Resident Assessment and Care Planning Deficiencies | Severity: E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Survey: 2025-03-28 | 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: 2025-03-28 | 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: 2025-03-28 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: D
Provide enough food/fluids to maintain a resident's health.
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Survey: 2025-03-28 | 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: 2025-03-28 | Tag F0699 | Quality of Life and Care Deficiencies | Severity: D
Provide care or services that was trauma informed and/or culturally competent.
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Survey: 2025-03-28 | 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: 2025-03-28 | 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: 2025-03-28 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2025-03-28 | Tag F0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
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Survey: 2024-06-13 | 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: 2024-06-13 | 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: 2024-06-13 | 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: 2024-06-13 | 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: 2024-06-13 | 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: 2024-06-13 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: D
Provide enough food/fluids to maintain a resident's health.
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Survey: 2024-06-13 | Tag F0740 | Quality of Life and Care Deficiencies | Severity: D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Survey: 2024-06-13 | 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: 2024-06-13 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2024-06-13 | Tag F0908 | Environmental Deficiencies | Severity: D
Keep all essential equipment working safely.
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Survey: 2024-06-13 | Tag F0791 | Quality of Life and Care Deficiencies | Severity: D
Provide or obtain dental services for each resident.
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Survey: 2023-11-01 | Tag F0568 | Resident Rights Deficiencies | Severity: D
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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Survey: 2023-11-01 | Tag F0569 | Resident Rights Deficiencies | Severity: D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
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Survey: 2023-11-01 | 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: 2023-07-27 | Tag F0637 | Resident Assessment and Care Planning Deficiencies | Severity: D
Assess the resident when there is a significant change in condition
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Survey: 2023-07-27 | 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: 2023-04-25 | Tag F0690 | Quality of Life and Care Deficiencies | Severity: G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Survey: 2023-04-25 | Tag F0770 | Administration Deficiencies | Severity: D
Provide timely, quality laboratory services/tests to meet the needs of residents.
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Survey: 2023-03-01 | 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: 2023-03-01 | 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: 2023-08-17 | 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: 2023-08-17 | Tag F0585 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Survey: 2023-08-17 | Tag F0645 | Resident Assessment and Care Planning Deficiencies | Severity: D
PASARR screening for Mental disorders or Intellectual Disabilities
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Survey: 2023-08-17 | 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: 2023-08-17 | 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: 2023-08-17 | Tag F0730 | Nursing and Physician Services Deficiencies | Severity: E
Observe each nurse aide's job performance and give regular training.
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Survey: 2023-08-17 | Tag F0742 | Quality of Life and Care Deficiencies | Severity: D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
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Survey: 2023-08-17 | 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: 2023-08-17 | Tag F0814 | Nutrition and Dietary Deficiencies | Severity: D
Dispose of garbage and refuse properly.
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Survey: 2023-08-17 | Tag F0835 | Administration Deficiencies | Severity: D
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Survey: 2023-08-17 | Tag F0559 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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Survey: 2023-08-17 | 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.
