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Survey: 2026-01-09 | 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: 2026-01-09 | 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: 2026-01-09 | 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: 2025-09-03 | 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: 2025-06-27 | 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: 2025-06-27 | Tag F0628 | Resident Rights Deficiencies | Severity: E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Survey: 2025-06-27 | 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: 2025-06-27 | 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: 2025-06-27 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: D
Provide activities to meet all resident's needs.
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Survey: 2025-06-27 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2025-06-27 | 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: 2025-06-27 | 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: 2025-06-27 | Tag F0698 | Quality of Life and Care Deficiencies | Severity: E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Survey: 2025-06-27 | 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: 2025-06-27 | 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: 2025-06-27 | 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: 2025-06-27 | Tag F0805 | Nutrition and Dietary Deficiencies | Severity: D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Survey: 2025-06-27 | 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: 2025-06-27 | Tag F0814 | Nutrition and Dietary Deficiencies | Severity: E
Dispose of garbage and refuse properly.
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Survey: 2025-06-27 | Tag F0847 | Administration Deficiencies | Severity: D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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Survey: 2025-06-27 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2025-06-27 | Tag F0882 | Infection Control Deficiencies | Severity: D
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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Survey: 2025-06-27 | Tag F0947 | Nursing and Physician Services Deficiencies | Severity: E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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Survey: 2025-06-27 | 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: 2025-06-27 | Tag F0687 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate foot care.
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Survey: 2024-12-26 | Tag F0567 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to manage his or her financial affairs.
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Survey: 2024-11-06 | 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: 2024-11-06 | 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: 2024-11-06 | Tag F0713 | Nursing and Physician Services Deficiencies | Severity: D
Provide or arrange emergency care by a doctor 24 hours a day.
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Survey: 2024-10-25 | 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: 2024-10-25 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D
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: 2024-10-25 | Tag F0836 | Administration Deficiencies | Severity: D
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
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Survey: 2024-10-09 | Tag F0624 | Resident Rights Deficiencies | Severity: D
Prepare residents for a safe transfer or discharge from the nursing home.
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Survey: 2024-07-05 | 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: 2024-07-05 | 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: 2024-07-05 | Tag F0725 | Nursing and Physician Services Deficiencies | Severity: D
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: 2024-07-05 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2024-07-26 | 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: 2024-07-26 | Tag F0558 | Resident Rights Deficiencies | Severity: E
Reasonably accommodate the needs and preferences of each resident.
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Survey: 2024-07-26 | Tag F0583 | Resident Rights Deficiencies | Severity: D
Keep residents' personal and medical records private and confidential.
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Survey: 2024-07-26 | 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: 2024-07-26 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2024-07-26 | Tag F0622 | Resident Rights Deficiencies | Severity: E
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: 2024-07-26 | Tag F0623 | Resident Rights Deficiencies | Severity: E
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: 2024-07-26 | Tag F0625 | Resident Rights Deficiencies | Severity: E
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.
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Survey: 2024-07-26 | 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: 2024-07-26 | 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: 2024-07-26 | 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: 2024-07-26 | 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: 2024-07-26 | 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: 2024-07-26 | Tag F0693 | Quality of Life and Care Deficiencies | Severity: D
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.
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Survey: 2024-07-26 | 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: 2024-07-26 | Tag F0698 | Quality of Life and Care Deficiencies | Severity: E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Survey: 2024-07-26 | 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: 2024-07-26 | 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: 2024-07-26 | Tag F0744 | Quality of Life and Care Deficiencies | Severity: D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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Survey: 2024-07-26 | 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: 2024-07-26 | 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: 2024-07-26 | 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: 2024-07-26 | Tag F0849 | Administration Deficiencies | Severity: E
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
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Survey: 2024-07-26 | Tag F0868 | Administration Deficiencies | Severity: E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Survey: 2024-07-26 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2024-07-26 | Tag F0883 | Infection Control Deficiencies | Severity: E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Survey: 2024-07-26 | Tag F0887 | Infection Control Deficiencies | Severity: D
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
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Survey: 2024-07-26 | Tag F0940 | Administration Deficiencies | Severity: E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
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Survey: 2024-07-26 | Tag F0947 | Nursing and Physician Services Deficiencies | Severity: D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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Survey: 2024-07-26 | 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: 2024-07-26 | Tag F0805 | Nutrition and Dietary Deficiencies | Severity: D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Survey: 2023-10-19 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2023-07-25 | 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: 2023-08-11 | Tag F0554 | Resident Rights Deficiencies | Severity: D
Allow residents to self-administer drugs if determined clinically appropriate.
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Survey: 2023-08-11 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Survey: 2023-08-11 | 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: 2023-08-11 | 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: 2023-08-11 | 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: 2023-08-11 | Tag F0691 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
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Survey: 2023-08-11 | Tag F0695 | Quality of Life and Care Deficiencies | Severity: E
Provide safe and appropriate respiratory care for a resident when needed.
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Survey: 2023-08-11 | Tag F0726 | Nursing and Physician Services Deficiencies | Severity: E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
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Survey: 2023-08-11 | 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: 2023-08-11 | 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: 2023-08-11 | 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: 2023-08-11 | 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: 2023-08-11 | Tag F0847 | Administration Deficiencies | Severity: D
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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Survey: 2023-08-11 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2023-08-11 | Tag F0882 | Infection Control Deficiencies | Severity: E
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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Survey: 2023-08-11 | Tag F0947 | Nursing and Physician Services Deficiencies | Severity: E
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
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Survey: 2023-08-11 | 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: 2023-08-11 | Tag F0585 | Resident Rights Deficiencies | Severity: E
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: 2023-08-11 | Tag F0725 | Nursing and Physician Services Deficiencies | Severity: D
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: 2023-08-11 | Tag F0837 | Administration Deficiencies | Severity: F
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.