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Survey: 2026-01-22 | Tag F0558 | Resident Rights Deficiencies | Severity: E
Reasonably accommodate the needs and preferences of each resident.
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Survey: 2026-01-22 | 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: 2026-01-22 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: L
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Survey: 2026-01-22 | Tag F0725 | Nursing and Physician Services Deficiencies | Severity: J
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: 2026-01-22 | Tag F0729 | Nursing and Physician Services Deficiencies | Severity: D
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
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Survey: 2026-01-22 | 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: 2026-01-22 | 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: 2026-01-22 | 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.
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Survey: 2026-01-22 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2026-01-22 | Tag F0908 | Environmental Deficiencies | Severity: F
Keep all essential equipment working safely.
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Survey: 2026-01-22 | Tag F0941 | Administration Deficiencies | Severity: E
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
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Survey: 2026-01-22 | Tag F0942 | Resident Rights Deficiencies | Severity: E
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
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Survey: 2026-01-22 | 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: 2026-01-22 | Tag F0944 | Administration Deficiencies | Severity: E
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
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Survey: 2026-01-22 | Tag F0945 | Infection Control Deficiencies | Severity: E
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
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Survey: 2026-01-22 | Tag F0946 | Administration Deficiencies | Severity: E
Provide training in compliance and ethics.
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Survey: 2026-01-22 | 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: 2026-01-22 | Tag F0949 | Administration Deficiencies | Severity: E
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
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Survey: 2025-12-23 | 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: 2025-12-23 | 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: 2025-12-23 | 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.
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Survey: 2025-12-04 | 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: 2025-12-04 | 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: 2025-12-04 | 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: 2025-12-04 | 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: 2025-12-04 | 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: 2025-12-04 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2025-07-01 | Tag F0558 | Resident Rights Deficiencies | Severity: E
Reasonably accommodate the needs and preferences of each resident.
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Survey: 2025-07-01 | 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: 2025-07-01 | 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: 2025-07-01 | Tag F0628 | Resident Rights Deficiencies | Severity: D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Survey: 2025-07-01 | Tag F0693 | Quality of Life and Care Deficiencies | Severity: E
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: 2025-07-01 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2025-07-01 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2025-03-19 | Tag F0660 | Resident Assessment and Care Planning Deficiencies | Severity: D
Plan the resident's discharge to meet the resident's goals and needs.
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Survey: 2025-03-19 | 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: 2025-03-19 | 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: 2025-03-19 | 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: 2025-03-19 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2025-03-19 | Tag F0803 | Nutrition and Dietary Deficiencies | Severity: D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
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Survey: 2025-03-19 | 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: 2025-04-18 | 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: 2025-04-18 | 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: 2025-04-18 | Tag F0620 | Resident Rights Deficiencies | Severity: D
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
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Survey: 2025-04-18 | 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: 2025-04-18 | 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: 2025-04-18 | Tag F0625 | Resident Rights Deficiencies | Severity: D
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: 2025-04-18 | 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: 2025-04-18 | 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: 2025-04-18 | 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: 2025-04-18 | Tag F0698 | Quality of Life and Care Deficiencies | Severity: D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Survey: 2025-04-18 | 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: 2025-04-18 | Tag F0710 | Nursing and Physician Services Deficiencies | Severity: D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
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Survey: 2025-04-18 | 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: 2025-04-18 | 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: 2025-04-18 | 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: 2025-04-18 | 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: 2025-04-18 | Tag F0756 | Pharmacy Service Deficiencies | Severity: E
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: 2025-04-18 | 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: 2025-04-18 | 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: 2025-04-18 | 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.
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Survey: 2025-04-18 | Tag F0825 | Quality of Life and Care Deficiencies | Severity: E
Provide or get specialized rehabilitative services as required for a resident.
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Survey: 2025-04-18 | Tag F0850 | Administration Deficiencies | Severity: E
Hire a qualified full-time social worker in a facility with more than 120 beds.
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Survey: 2025-04-18 | 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: 2025-04-18 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2025-04-18 | 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: 2025-04-18 | Tag F0883 | Infection Control Deficiencies | Severity: D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Survey: 2025-04-18 | Tag F0908 | Environmental Deficiencies | Severity: D
Keep all essential equipment working safely.
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Survey: 2025-04-18 | Tag F0943 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
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: 2025-04-18 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2025-04-18 | 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: 2024-12-27 | 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: 2024-12-27 | Tag F0620 | Resident Rights Deficiencies | Severity: D
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
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Survey: 2024-09-18 | 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: 2024-09-18 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2024-08-02 | 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: 2024-05-15 | Tag F0921 | Environmental Deficiencies | Severity: D
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: 2024-04-25 | Tag F0554 | Resident Rights Deficiencies | Severity: D
Allow residents to self-administer drugs if determined clinically appropriate.
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Survey: 2024-04-25 | Tag F0558 | Resident Rights Deficiencies | Severity: E
Reasonably accommodate the needs and preferences of each resident.
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Survey: 2024-04-25 | 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: 2024-04-25 | 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: 2024-04-25 | 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: 2024-04-25 | 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: 2024-04-25 | 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: 2024-04-25 | 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: 2024-04-25 | 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: 2024-04-25 | 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: 2024-04-25 | 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: 2024-04-25 | Tag F0698 | Quality of Life and Care Deficiencies | Severity: D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Survey: 2024-04-25 | Tag F0756 | Pharmacy Service Deficiencies | Severity: E
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: 2024-04-25 | 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: 2024-04-25 | 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: 2024-04-25 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2024-04-25 | Tag F0919 | Environmental Deficiencies | Severity: D
Make sure that a working call system is available in each resident's bathroom and bathing area.
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Survey: 2023-12-07 | 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: 2023-07-14 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2023-07-14 | 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: 2023-07-14 | 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.
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Survey: 2023-07-14 | 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.
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Survey: 2023-07-14 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2023-07-14 | Tag F0941 | Administration Deficiencies | Severity: B
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
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Survey: 2023-07-14 | 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.
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Survey: 2023-07-14 | Tag F0944 | Administration Deficiencies | Severity: C
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
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Survey: 2023-07-14 | 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.