D
F-569
no actual harm; potential for more than minimal harm · isolated · found via complaint
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected Feb 13, 2024
D
F-570
no actual harm; potential for more than minimal harm · isolated · found via complaint
Assure the security of all personal funds of residents deposited with the facility.
Corrected Feb 13, 2024
D
F-580
no actual harm; potential for more than minimal harm · isolated · found via complaint
The home didn't promptly tell the resident, their doctor, or family about an injury, decline, or other significant change.
CMS requirement: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Feb 13, 2024
D
F-607
no actual harm; potential for more than minimal harm · isolated · found via complaint
The home's written policies to prevent abuse, neglect, and theft were missing or not followed.
CMS requirement: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Feb 13, 2024
D
F-610
no actual harm; potential for more than minimal harm · isolated · found via complaint
Reported abuse or neglect allegations weren't properly investigated or acted on.
CMS requirement: Respond appropriately to all alleged violations.
Corrected Feb 13, 2024
D
F-625
no actual harm; potential for more than minimal harm · isolated · found via complaint
Residents weren't told in writing how long their bed would be held during a hospital stay.
CMS requirement: 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.
Corrected Feb 13, 2024
D
F-641
no actual harm; potential for more than minimal harm · isolated · found via complaint
Resident health assessments were inaccurate.
CMS requirement: Ensure each resident receives an accurate assessment.
Corrected Feb 13, 2024
D
F-657
no actual harm; potential for more than minimal harm · isolated · found via complaint
Care plans weren't finished within 7 days of assessment, or weren't built and reviewed by the right team.
CMS requirement: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Feb 13, 2024
D
F-689
no actual harm; potential for more than minimal harm · isolated · found via complaint
Inspectors found accident hazards, or residents weren't supervised closely enough to prevent falls and injuries.
CMS requirement: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Feb 13, 2024
D
F-755
no actual harm; potential for more than minimal harm · isolated · found via complaint
Pharmacy services fell short — the facility didn't properly use a licensed pharmacist to manage medications.
CMS requirement: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Feb 28, 2024
D
F-756
no actual harm; potential for more than minimal harm · isolated · found via complaint
Monthly pharmacist reviews of each resident's medications didn't happen or irregularities weren't reported.
CMS requirement: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected Feb 28, 2024
D
F-760
no actual harm; potential for more than minimal harm · isolated · found via complaint
A resident experienced a significant medication error.
CMS requirement: Ensure that residents are free from significant medication errors.
Corrected Feb 13, 2024
D
F-812
no actual harm; potential for more than minimal harm · isolated · found via complaint
Problems with safe food handling — storage temperatures, kitchen sanitation, or food from unapproved sources.
CMS requirement: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected Feb 13, 2024
D
F-842
no actual harm; potential for more than minimal harm · isolated · found via complaint
Medical records were incomplete, inaccurate, or not kept confidential.
CMS requirement: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected Feb 13, 2024
E
F-849
no actual harm; potential for more than minimal harm · pattern · found via complaint
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.
Corrected Feb 13, 2024
D
F-921
no actual harm; potential for more than minimal harm · isolated · found via complaint
Common areas weren't kept safe, clean, usable, and comfortable.
CMS requirement: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Feb 13, 2024