May 7, 2026
43 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|---|---|---|
| F730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Standard survey · Cycle 1 · Under IDR | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F803 | 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. Nutrition and Dietary Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F809 | 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. Nutrition and Dietary Deficiencies · Standard survey · Cycle 1 · Under IDR | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F814 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Standard survey · Cycle 1 · Under IDR | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F838 | 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. Administration Deficiencies · Standard survey · Cycle 1 · Under IDR | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F850 | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Standard survey · Cycle 1 · Under IDR | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · Standard survey · Cycle 1 · Under IDR | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Standard survey · Cycle 1 · Under IDR | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Standard survey · Cycle 1 · Under IDR | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Standard survey · Cycle 1 · Under IDR | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. Resident Rights Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. Nursing and Physician Services Deficiencies · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F567 | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F627 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. Resident Rights Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F646 | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F692 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F791 | Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |
| F849 | 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. Administration Deficiencies · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 16, 2026 |