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Survey: 2025-10-09 | 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: 2025-10-09 | Tag F0727 | Nursing and Physician Services Deficiencies | Severity: F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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Survey: 2025-10-09 | Tag F0757 | Pharmacy Service Deficiencies | Severity: E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2025-10-09 | Tag F0840 | Administration Deficiencies | Severity: D
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
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Survey: 2025-10-09 | 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: 2025-10-09 | 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: 2024-10-03 | 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: 2024-10-03 | 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: 2024-10-03 | 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: 2024-10-03 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2024-10-03 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Respond appropriately to all alleged violations.
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Survey: 2024-10-03 | 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: 2024-10-03 | 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: 2024-10-03 | Tag F0740 | Quality of Life and Care Deficiencies | Severity: G
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Survey: 2024-10-03 | 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: 2024-10-03 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2024-10-03 | 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: 2024-10-03 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
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Survey: 2024-10-03 | 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: 2024-10-03 | Tag F0770 | Administration Deficiencies | Severity: E
Provide timely, quality laboratory services/tests to meet the needs of residents.
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Survey: 2024-10-03 | 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: 2024-10-03 | Tag F0775 | Administration Deficiencies | Severity: D
Keep complete, dated laboratory records in the resident's record.
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Survey: 2024-10-03 | Tag F0779 | Administration Deficiencies | Severity: D
Keep signed and dated reports of x-rays and other diagnostic services in the residents record.
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Survey: 2024-10-03 | 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: 2024-10-03 | 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: 2024-10-03 | Tag F0868 | Administration Deficiencies | Severity: D
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Survey: 2024-10-03 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2024-10-03 | Tag F0881 | Infection Control Deficiencies | Severity: D
Implement a program that monitors antibiotic use.
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Survey: 2024-10-03 | Tag F0887 | Infection Control Deficiencies | Severity: E
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: 2024-10-03 | Tag F0948 | Nursing and Physician Services Deficiencies | Severity: D
Ensure that paid feeding assistants have the training they need.
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Survey: 2024-10-03 | 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: 2024-10-03 | 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: 2024-10-03 | 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: 2024-10-03 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2023-03-02 | 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: 2023-03-02 | 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: 2023-03-02 | 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: 2023-03-02 | 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: 2023-03-02 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2023-03-02 | Tag F0883 | Infection Control Deficiencies | Severity: D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Survey: 2023-03-02 | 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.
