read more
Survey: 2025-01-24 | 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.
---
Survey: 2025-01-24 | Tag F0637 | Resident Assessment and Care Planning Deficiencies | Severity: D
Assess the resident when there is a significant change in condition
---
Survey: 2025-01-24 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: E
Ensure each resident receives an accurate assessment.
---
Survey: 2025-01-24 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
---
Survey: 2025-01-24 | 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.
---
Survey: 2025-01-24 | 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.
---
Survey: 2025-01-24 | Tag F0848 | Administration Deficiencies | Severity: C
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
---
Survey: 2025-01-24 | Tag F0941 | Administration Deficiencies | Severity: B
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
---
Survey: 2025-01-24 | Tag F0942 | Resident Rights Deficiencies | Severity: B
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
---
Survey: 2025-01-24 | 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.
---
Survey: 2025-01-24 | Tag F0944 | Administration Deficiencies | Severity: B
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
---
Survey: 2025-01-24 | Tag F0945 | Infection Control Deficiencies | Severity: D
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
---
Survey: 2025-01-24 | Tag F0946 | Administration Deficiencies | Severity: C
Provide training in compliance and ethics.
---
Survey: 2025-01-24 | Tag F0947 | Nursing and Physician Services Deficiencies | Severity: F
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
---
Survey: 2025-01-24 | Tag F0949 | Administration Deficiencies | Severity: C
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
---
Survey: 2024-06-13 | 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.
---
Survey: 2024-06-13 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: H
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
---
Survey: 2024-06-13 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
---
Survey: 2024-06-13 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
---
Survey: 2024-06-13 | Tag F0725 | Nursing and Physician Services Deficiencies | Severity: E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
---
Survey: 2024-06-13 | Tag F0726 | Nursing and Physician Services Deficiencies | Severity: D
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.
---
Survey: 2024-06-13 | 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.
---
Survey: 2024-06-13 | 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.
---
Survey: 2024-06-13 | 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.
---
Survey: 2024-06-13 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
---
Survey: 2024-06-13 | Tag F0940 | Administration Deficiencies | Severity: E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
---
Survey: 2024-03-13 | Tag F0583 | Resident Rights Deficiencies | Severity: D
Keep residents' personal and medical records private and confidential.
---
Survey: 2023-12-15 | Tag F0565 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to organize and participate in resident/family groups in the facility.
---
Survey: 2023-12-15 | Tag F0575 | Resident Rights Deficiencies | Severity: D
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
---
Survey: 2023-12-15 | Tag F0582 | Resident Rights Deficiencies | Severity: D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
---
Survey: 2023-12-15 | 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.
---
Survey: 2023-12-15 | 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.
---
Survey: 2023-12-15 | Tag F0680 | Quality of Life and Care Deficiencies | Severity: D
Ensure the activities program is directed by a qualified professional.
---
Survey: 2023-12-15 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
---
Survey: 2023-12-15 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
---
Survey: 2023-12-15 | 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.
---
Survey: 2023-12-15 | 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.
---
Survey: 2023-12-15 | Tag F0809 | Nutrition and Dietary Deficiencies | Severity: E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
---
Survey: 2023-12-15 | Tag F0838 | Administration Deficiencies | Severity: D
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.
---
Survey: 2023-12-15 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
---
Survey: 2023-12-15 | Tag F0944 | Administration Deficiencies | Severity: C
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
---
Survey: 2023-12-15 | 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.
---
Survey: 2023-06-06 | 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.
---
Survey: 2023-06-06 | Tag F0810 | Nutrition and Dietary Deficiencies | Severity: E
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
---
Survey: 2023-04-21 | 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.
---
Survey: 2023-04-21 | 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.
---
Survey: 2023-02-12 | Tag F0576 | Resident Rights Deficiencies | Severity: D
Ensure residents have reasonable access to and privacy in their use of communication methods.
---
Survey: 2023-02-12 | Tag F0582 | Resident Rights Deficiencies | Severity: D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
---
Survey: 2023-02-12 | 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.
---
Survey: 2023-02-12 | 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.
---
Survey: 2023-02-12 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: E
Provide activities to meet all resident's needs.
---
Survey: 2023-02-12 | Tag F0680 | Quality of Life and Care Deficiencies | Severity: E
Ensure the activities program is directed by a qualified professional.
---
Survey: 2023-02-12 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
---
Survey: 2023-02-12 | 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.
---
Survey: 2023-02-12 | 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.
---
Survey: 2023-02-12 | Tag F0809 | Nutrition and Dietary Deficiencies | Severity: E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
---
Survey: 2023-02-12 | 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.
---
Survey: 2023-02-12 | Tag F0849 | Administration Deficiencies | Severity: D
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.
---
Survey: 2023-02-12 | Tag F0883 | Infection Control Deficiencies | Severity: D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
---
Survey: 2023-02-12 | Tag F0924 | Environmental Deficiencies | Severity: D
Put firmly secured handrails on each side of hallways.
