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Survey: 2026-01-08 | Tag F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Protect each resident from the wrongful use of the resident's belongings or money.
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Survey: 2026-01-08 | 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: 2026-01-08 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Respond appropriately to all alleged violations.
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Survey: 2026-01-08 | 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: 2026-01-08 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2025-12-05 | 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: 2025-12-05 | 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: 2025-12-05 | 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: 2025-12-05 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2025-10-07 | 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.
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Survey: 2025-05-20 | Tag F0925 | Environmental Deficiencies | Severity: F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Survey: 2025-02-14 | Tag F0565 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to organize and participate in resident/family groups in the facility.
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Survey: 2025-02-14 | Tag F0577 | Resident Rights Deficiencies | Severity: F
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
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Survey: 2025-02-14 | Tag F0578 | Resident Rights Deficiencies | Severity: E
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: 2025-02-14 | Tag F0582 | Resident Rights Deficiencies | Severity: E
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Survey: 2025-02-14 | 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.
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Survey: 2025-02-14 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2025-02-14 | Tag F0636 | Resident Assessment and Care Planning Deficiencies | Severity: E
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Survey: 2025-02-14 | Tag F0638 | Resident Assessment and Care Planning Deficiencies | Severity: E
Assure that each resident’s assessment is updated at least once every 3 months.
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Survey: 2025-02-14 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: E
Ensure each resident receives an accurate assessment.
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Survey: 2025-02-14 | 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: 2025-02-14 | 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: 2025-02-14 | 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: 2025-02-14 | 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: 2025-02-14 | 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: 2025-02-14 | 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: 2025-02-14 | 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: 2025-02-14 | 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: 2025-02-14 | 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: 2025-02-14 | 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: 2025-02-14 | 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: 2025-02-14 | 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: 2025-02-14 | 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: 2025-02-14 | 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.
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Survey: 2025-02-14 | 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: 2025-02-14 | 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: 2025-02-14 | 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: 2025-02-14 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: E
Provide activities to meet all resident's needs.
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Survey: 2025-02-14 | Tag F0680 | Quality of Life and Care Deficiencies | Severity: E
Ensure the activities program is directed by a qualified professional.
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Survey: 2024-12-19 | 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: 2024-09-24 | 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: 2024-05-07 | 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: 2024-05-07 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: J
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2024-05-07 | Tag F0865 | Administration Deficiencies | Severity: D
Have a plan that describes the process for conducting QAPI and QAA activities.
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Survey: 2024-04-23 | 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: 2024-02-12 | Tag F0578 | Resident Rights Deficiencies | Severity: E
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: 2024-02-12 | 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: 2024-02-12 | 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: 2024-02-12 | 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: 2024-02-12 | 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: 2024-02-12 | 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: 2024-02-12 | 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: 2024-02-12 | 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: 2024-02-12 | 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: 2024-02-12 | Tag F0730 | Nursing and Physician Services Deficiencies | Severity: C
Observe each nurse aide's job performance and give regular training.
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Survey: 2024-02-12 | 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: 2024-02-12 | 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: 2024-02-12 | 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: 2024-02-12 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2024-02-12 | 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.
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Survey: 2024-02-12 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2024-02-12 | Tag F0881 | Infection Control Deficiencies | Severity: F
Implement a program that monitors antibiotic use.
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Survey: 2024-02-12 | 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: 2024-02-12 | Tag F0940 | Administration Deficiencies | Severity: C
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
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Survey: 2024-02-12 | Tag F0941 | Administration Deficiencies | Severity: C
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
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Survey: 2024-02-12 | 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: 2024-02-12 | 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: 2024-02-12 | 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: 2024-02-12 | 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: 2024-02-12 | Tag F0946 | Administration Deficiencies | Severity: C
Provide training in compliance and ethics.
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Survey: 2024-02-12 | 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.
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Survey: 2024-02-12 | Tag F0949 | Administration Deficiencies | Severity: C
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
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Survey: 2024-02-12 | 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: 2024-02-12 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2024-02-12 | 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.
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Survey: 2024-02-12 | 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.
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Survey: 2024-02-12 | 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: 2024-02-12 | Tag F0925 | Environmental Deficiencies | Severity: F
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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Survey: 2023-11-15 | Tag F0655 | Resident Assessment and Care Planning Deficiencies | Severity: D
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: 2023-10-12 | 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: 2023-10-12 | 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: 2023-07-20 | 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: 2023-07-20 | Tag F0680 | Quality of Life and Care Deficiencies | Severity: E
Ensure the activities program is directed by a qualified professional.
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Survey: 2023-07-20 | 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: 2023-07-20 | 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: 2023-07-03 | Tag F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Survey: 2023-05-17 | 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.
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Survey: 2023-05-17 | 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: 2023-05-17 | Tag F0801 | Nutrition and Dietary Deficiencies | Severity: F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
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Survey: 2023-05-17 | Tag F0867 | Administration Deficiencies | Severity: F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Survey: 2023-03-06 | 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: 2023-03-06 | 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: 2023-03-06 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: E
Provide activities to meet all resident's needs.
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Survey: 2023-03-06 | Tag F0680 | Quality of Life and Care Deficiencies | Severity: F
Ensure the activities program is directed by a qualified professional.
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Survey: 2023-03-06 | 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: 2023-03-06 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2023-03-06 | 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: 2023-03-06 | 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: 2023-03-06 | 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: 2023-03-06 | Tag F0576 | Resident Rights Deficiencies | Severity: E
Ensure residents have reasonable access to and privacy in their use of communication methods.
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Survey: 2023-03-06 | 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: 2023-03-06 | 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: 2023-03-06 | 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: 2023-03-06 | 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: 2023-03-06 | 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: 2023-03-06 | 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: 2023-03-06 | Tag F0759 | Pharmacy Service Deficiencies | Severity: E
Ensure medication error rates are not 5 percent or greater.
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Survey: 2023-03-06 | Tag F0908 | Environmental Deficiencies | Severity: E
Keep all essential equipment working safely.