July 24, 2026
15 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|---|---|---|
| F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 · Under IDR | G: isolated, actual harm that is not immediate jeopardy | Deficient, Provider has plan of correction · August 25, 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 · Standard survey · Cycle 1 · Under IDR | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has plan of correction · August 25, 2026 |
| F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Standard survey · Cycle 1 · Under IDR | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has plan of correction · August 25, 2026 |
| F558 | Reasonably accommodate the needs and preferences of each resident. 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 plan of correction · August 25, 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 plan of correction · August 25, 2026 |
| F584 | 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. 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 plan of correction · August 25, 2026 |
| F604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has plan of correction · August 25, 2026 |
| F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has plan of correction · August 25, 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 · Complaint survey · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has plan of correction · August 25, 2026 |
| F688 | 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. 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 plan of correction · August 25, 2026 |
| F693 | 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. 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 plan of correction · August 25, 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 plan of correction · August 25, 2026 |
| F699 | Provide care or services that was trauma informed and/or culturally competent. 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 plan of correction · August 25, 2026 |
| F761 | 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. Pharmacy Service Deficiencies · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has plan of correction · August 25, 2026 |
| F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Complaint survey · Standard survey · Cycle 1 · Under IDR | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has plan of correction · August 25, 2026 |