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Survey: 2025-08-21 | 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: 2025-08-21 | Tag F0690 | Quality of Life and Care Deficiencies | Severity: D
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: 2025-08-21 | 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: 2025-08-21 | Tag F0775 | Administration Deficiencies | Severity: D
Keep complete, dated laboratory records in the resident's record.
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Survey: 2025-08-21 | 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: 2025-08-21 | 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: 2024-03-21 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: J
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: 2024-03-21 | 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: 2024-03-21 | 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: 2024-03-21 | 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: 2024-03-21 | 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: 2024-03-21 | Tag F0697 | Quality of Life and Care Deficiencies | Severity: G
Provide safe, appropriate pain management for a resident who requires such services.
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Survey: 2025-03-20 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure each resident receives an accurate assessment.
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Survey: 2025-03-20 | 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: 2025-03-20 | 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: 2025-03-20 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2025-03-20 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2025-03-20 | Tag F0790 | Quality of Life and Care Deficiencies | Severity: D
Provide routine and 24-hour emergency dental care for each resident.
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Survey: 2025-03-20 | 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: 2025-03-20 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2025-03-20 | 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: 2023-09-18 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: G
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: 2023-09-18 | 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: 2023-09-18 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Respond appropriately to all alleged violations.
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Survey: 2023-04-25 | 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: 2023-04-25 | Tag F0557 | Resident Rights Deficiencies | Severity: G
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
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Survey: 2023-04-25 | Tag F0561 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Survey: 2023-04-25 | Tag F0565 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to organize and participate in resident/family groups in the facility.
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Survey: 2023-04-25 | Tag F0567 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to manage his or her financial affairs.
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Survey: 2023-04-25 | 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: 2023-04-25 | Tag F0580 | Resident Rights Deficiencies | Severity: E
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: 2023-04-25 | 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: 2023-04-25 | 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: 2023-04-25 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: K
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: 2023-04-25 | Tag F0603 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: G
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).
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Survey: 2023-04-25 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: H
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Survey: 2023-04-25 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: K
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2023-04-25 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: K
Respond appropriately to all alleged violations.
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Survey: 2023-04-25 | Tag F0622 | Resident Rights Deficiencies | Severity: G
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: 2023-04-25 | 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: 2023-04-25 | Tag F0624 | Resident Rights Deficiencies | Severity: D
Prepare residents for a safe transfer or discharge from the nursing home.
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Survey: 2023-04-25 | 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: 2023-04-25 | 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: 2023-04-25 | Tag F0660 | Resident Assessment and Care Planning Deficiencies | Severity: E
Plan the resident's discharge to meet the resident's goals and needs.
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Survey: 2023-04-25 | Tag F0676 | Quality of Life and Care Deficiencies | Severity: E
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Survey: 2023-04-25 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: H
Provide activities to meet all resident's needs.
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Survey: 2023-04-25 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: H
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2023-04-25 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Survey: 2023-04-25 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2023-04-25 | Tag F0690 | Quality of Life and Care Deficiencies | Severity: E
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 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: 2023-04-25 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: G
Provide enough food/fluids to maintain a resident's health.
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Survey: 2023-04-25 | 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: 2023-04-25 | Tag F0697 | Quality of Life and Care Deficiencies | Severity: G
Provide safe, appropriate pain management for a resident who requires such services.
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Survey: 2023-04-25 | Tag F0725 | Nursing and Physician Services Deficiencies | Severity: K
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: 2023-04-25 | Tag F0726 | Nursing and Physician Services Deficiencies | Severity: G
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: 2023-04-25 | 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: 2023-04-25 | Tag F0744 | Quality of Life and Care Deficiencies | Severity: E
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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Survey: 2023-04-25 | Tag F0745 | Quality of Life and Care Deficiencies | Severity: E
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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Survey: 2023-04-25 | 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: 2023-04-25 | 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: 2023-04-25 | Tag F0757 | Pharmacy Service Deficiencies | Severity: G
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2023-04-25 | Tag F0758 | Pharmacy Service Deficiencies | Severity: E
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: 2023-04-25 | Tag F0759 | Pharmacy Service Deficiencies | Severity: E
Ensure medication error rates are not 5 percent or greater.
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Survey: 2023-04-25 | Tag F0760 | Pharmacy Service Deficiencies | Severity: G
Ensure that residents are free from significant medication errors.
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Survey: 2023-04-25 | Tag F0770 | Administration Deficiencies | Severity: G
Provide timely, quality laboratory services/tests to meet the needs of residents.
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Survey: 2023-04-25 | 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: 2023-04-25 | Tag F0835 | Administration Deficiencies | Severity: H
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Survey: 2023-04-25 | Tag F0837 | Administration Deficiencies | Severity: H
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: 2023-04-25 | 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: 2023-04-25 | 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: 2023-04-25 | Tag F0867 | Administration Deficiencies | Severity: H
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Survey: 2023-04-25 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2023-04-25 | Tag F0881 | Infection Control Deficiencies | Severity: E
Implement a program that monitors antibiotic use.
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Survey: 2023-04-25 | Tag F0882 | Infection Control Deficiencies | Severity: F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
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Survey: 2023-04-25 | Tag F0883 | Infection Control Deficiencies | Severity: E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Survey: 2023-04-25 | 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: 2023-04-25 | Tag F0923 | Environmental Deficiencies | Severity: E
Have enough outside ventilation via a window or mechanical ventilation, or both.
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Survey: 2023-04-25 | 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: 2023-04-25 | 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: 2024-09-16 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2024-09-16 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2024-09-16 | 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: 2024-09-16 | 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: 2024-09-16 | 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: 2024-09-16 | 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: 2024-09-16 | 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: 2024-09-16 | 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: 2024-09-16 | 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: 2024-09-16 | Tag F0806 | Nutrition and Dietary Deficiencies | Severity: G
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Survey: 2024-09-16 | 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.