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Health Inspection Summary
Pawtucket Falls Healthcare Center
70 Gill Avenue
Pawtucket, RI 02861
(401) 722-7900
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Deficiency Category
Inspection Date:
12/12/24
Complaint Reporting Period:
4/1/24 - 3/31/25
Inspection Date:
12/13/23
Complaint Reporting Period:
4/1/23 - 3/31/24
Inspection Date:
1/23/23
Complaint Reporting Period:
4/1/22 - 3/31/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies020
Quality of Life and Care Deficiencies3514
Infection Control Deficiencies102
Resident Assessment and Care Planning Deficiencies329
Nursing and Physician Services Deficiencies101
Resident Rights Deficiencies122
Nutrition and Dietary Deficiencies112
Pharmacy Service Deficiencies1212
Environmental Deficiencies000
Administration Deficiencies222

Detailed result for inspection on 12/12/24
Date of last standard health inspection:12/12/24Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/24 - 3/31/25
Date(s) of infection control inspection(s) between 4/1/24 - 3/31/25
No infection control inspections
Total number of Health Deficiencies for this nursing home:13
Average number of Health Deficiencies in Rhode Island:8.7
Average number of Health Deficiencies in the United States:9.6
Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide medically-related social services to help each resident achieve the highest possible quality of life.

12/23/2412/30/24
2 - Minimal harm or potential for actual harm
Few

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.

12/12/241/10/25
2 - Minimal harm or potential for actual harm
Some

Provide safe, appropriate dialysis care/services for a resident who requires such services.

12/12/241/10/25
2 - Minimal harm or potential for actual harm
Some
Infection Control Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide and implement an infection prevention and control program.

8/16/249/9/24
4 - Immediate jeopardy to resident health or safety
Many
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure each resident receives an accurate assessment.

12/12/241/10/25
2 - Minimal harm or potential for actual harm
Few

Ensure services provided by the nursing facility meet professional standards of quality.

12/12/241/10/25
2 - Minimal harm or potential for actual harm
Few

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

5/13/246/24/24
2 - Minimal harm or potential for actual harm
Few
Nursing and Physician Services Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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.

8/16/249/9/24
2 - Minimal harm or potential for actual harm
Many
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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.

5/13/246/24/24
2 - Minimal harm or potential for actual harm
Few
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

8/16/249/9/24
2 - Minimal harm or potential for actual harm
Many
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure that residents are free from significant medication errors.

8/16/249/9/24
2 - Minimal harm or potential for actual harm
Some
Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.
Administration Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

8/16/249/9/24
4 - Immediate jeopardy to resident health or safety
Many

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

8/16/249/9/24
2 - Minimal harm or potential for actual harm
Some

Detailed result for inspection on 12/13/23
Date of last standard health inspection:12/13/23Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/23 - 3/31/24
Date(s) of infection control inspection(s) between 4/1/23 - 3/31/24
No infection control inspections
Total number of Health Deficiencies for this nursing home:16
Average number of Health Deficiencies in Rhode Island:10
Average number of Health Deficiencies in the United States:9.4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

11/6/2311/6/23
4 - Immediate jeopardy to resident health or safety
Some

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

6/1/236/15/23
2 - Minimal harm or potential for actual harm
Few
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide safe and appropriate respiratory care for a resident when needed.

12/13/2312/28/23
2 - Minimal harm or potential for actual harm
Few

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

12/13/2312/28/23
2 - Minimal harm or potential for actual harm
Some

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

11/6/2311/6/23
4 - Immediate jeopardy to resident health or safety
Few

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

12/13/2312/28/23
2 - Minimal harm or potential for actual harm
Few

Provide care or services that was trauma informed and/or culturally competent.

12/13/2312/28/23
2 - Minimal harm or potential for actual harm
Some
Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

12/13/2312/28/23
2 - Minimal harm or potential for actual harm
Some

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

4/5/234/25/23
2 - Minimal harm or potential for actual harm
Few
Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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.

3/26/245/6/24
2 - Minimal harm or potential for actual harm
Few

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

12/13/2312/28/23
1 - Potential for minimal harm
Some
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

4/12/235/12/23
2 - Minimal harm or potential for actual harm
Many
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure each resident’s drug regimen must be free from unnecessary drugs.

12/13/2312/28/23
2 - Minimal harm or potential for actual harm
Few

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.

12/13/2312/28/23
2 - Minimal harm or potential for actual harm
Some
Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.
Administration Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

4/5/234/25/23
2 - Minimal harm or potential for actual harm
Few

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

11/6/2311/6/23
2 - Minimal harm or potential for actual harm
Some

Detailed result for inspection on 1/23/23
Date of last standard health inspection:1/23/23Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/22 - 3/31/23
Date(s) of infection control inspection(s) between 4/1/22 - 3/31/23
Total number of Health Deficiencies for this nursing home:44
Average number of Health Deficiencies in Rhode Island:10.1
Average number of Health Deficiencies in the United States:8.7
Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

3/10/233/16/23
3 - Actual harm
Few

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

11/9/2211/23/22
2 - Minimal harm or potential for actual harm
Few

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2/28/233/15/23
2 - Minimal harm or potential for actual harm
Few

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Some

Provide appropriate foot care.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Few

Provide enough food/fluids to maintain a resident's health.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Some

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

2/28/233/15/23
2 - Minimal harm or potential for actual harm
Few

Provide enough food/fluids to maintain a resident's health.

2/28/233/15/23
3 - Actual harm
Few

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

2/28/233/23/23
2 - Minimal harm or potential for actual harm
Few

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

1/6/233/15/23
3 - Actual harm
Few

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

4/8/224/26/22
2 - Minimal harm or potential for actual harm
Few

Provide care and assistance to perform activities of daily living for any resident who is unable.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Few

Provide safe and appropriate respiratory care for a resident when needed.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Few

Provide enough food/fluids to maintain a resident's health.

11/9/2211/23/22
2 - Minimal harm or potential for actual harm
Few
Infection Control Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Perform COVID19 testing on residents and staff.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Many

Provide and implement an infection prevention and control program.

9/21/229/29/22
2 - Minimal harm or potential for actual harm
Few
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure each resident receives an accurate assessment.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Few

Assure that each resident’s assessment is updated at least once every 3 months.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Many

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

1/6/233/15/23
2 - Minimal harm or potential for actual harm
Few

Ensure services provided by the nursing facility meet professional standards of quality.

11/9/2211/23/22
2 - Minimal harm or potential for actual harm
Few

Ensure services provided by the nursing facility meet professional standards of quality.

9/29/2210/13/22
2 - Minimal harm or potential for actual harm
Few

Ensure services provided by the nursing facility meet professional standards of quality.

6/8/226/23/22
2 - Minimal harm or potential for actual harm
Few

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Many

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Many

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

10/21/2211/4/22
2 - Minimal harm or potential for actual harm
Few
Nursing and Physician Services Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Few
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Few

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Few
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

1/23/233/15/23
2 - Minimal harm or potential for actual harm
Many

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2/28/233/23/23
2 - Minimal harm or potential for actual harm
Few
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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.

3/6/233/15/23
2 - Minimal harm or potential for actual harm
Few

Ensure each resident’s drug regimen must be free from unnecessary drugs.

1/6/233/15/23
2 - Minimal harm or potential for actual harm
Few

Ensure that residents are free from significant medication errors.

1/6/233/15/23
2 - Minimal harm or potential for actual harm
Some

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.

2/28/233/15/23
2 - Minimal harm or potential for actual harm
Few

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.

1/6/233/15/23
2 - Minimal harm or potential for actual harm
Few

Ensure that residents are free from significant medication errors.

10/21/2211/4/22
4 - Immediate jeopardy to resident health or safety
Few

Ensure each resident’s drug regimen must be free from unnecessary drugs.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Some

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.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Few

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.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Few

Ensure that residents are free from significant medication errors.

10/5/2210/24/22
2 - Minimal harm or potential for actual harm
Some

Ensure that residents are free from significant medication errors.

4/8/224/26/22
2 - Minimal harm or potential for actual harm
Few

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2/28/233/15/23
2 - Minimal harm or potential for actual harm
Few
Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.
Administration Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Few

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

1/23/232/28/23
2 - Minimal harm or potential for actual harm
Many
Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide medically-related social services to help each resident achieve the highest possible quality of life.

12/23/2412/30/24
2 - Minimal harm or potential for actual harm
Few

Provide and implement an infection prevention and control program.

8/16/249/9/24
4 - Immediate jeopardy to resident health or safety
Many

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

5/13/246/24/24
2 - Minimal harm or potential for actual harm
Few

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.

8/16/249/9/24
2 - Minimal harm or potential for actual harm
Many

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.

5/13/246/24/24
2 - Minimal harm or potential for actual harm
Few

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

8/16/249/9/24
2 - Minimal harm or potential for actual harm
Many

Ensure that residents are free from significant medication errors.

8/16/249/9/24
2 - Minimal harm or potential for actual harm
Some

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

8/16/249/9/24
4 - Immediate jeopardy to resident health or safety
Many

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

8/16/249/9/24
2 - Minimal harm or potential for actual harm
Some

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

11/6/2311/6/23
4 - Immediate jeopardy to resident health or safety
Some

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

6/1/236/15/23
2 - Minimal harm or potential for actual harm
Few

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

11/6/2311/6/23
4 - Immediate jeopardy to resident health or safety
Few

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

4/5/234/25/23
2 - Minimal harm or potential for actual harm
Few

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.

3/26/245/6/24
2 - Minimal harm or potential for actual harm
Few

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

4/12/235/12/23
2 - Minimal harm or potential for actual harm
Many

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

4/5/234/25/23
2 - Minimal harm or potential for actual harm
Few

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

11/6/2311/6/23
2 - Minimal harm or potential for actual harm
Some

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

3/10/233/16/23
3 - Actual harm
Few

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

11/9/2211/23/22
2 - Minimal harm or potential for actual harm
Few

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2/28/233/15/23
2 - Minimal harm or potential for actual harm
Few

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

2/28/233/15/23
2 - Minimal harm or potential for actual harm
Few

Provide enough food/fluids to maintain a resident's health.

2/28/233/15/23
3 - Actual harm
Few

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

2/28/233/23/23
2 - Minimal harm or potential for actual harm
Few

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

1/6/233/15/23
3 - Actual harm
Few

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

4/8/224/26/22
2 - Minimal harm or potential for actual harm
Few

Provide enough food/fluids to maintain a resident's health.

11/9/2211/23/22
2 - Minimal harm or potential for actual harm
Few

Provide and implement an infection prevention and control program.

9/21/229/29/22
2 - Minimal harm or potential for actual harm
Few

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

1/6/233/15/23
2 - Minimal harm or potential for actual harm
Few

Ensure services provided by the nursing facility meet professional standards of quality.

11/9/2211/23/22
2 - Minimal harm or potential for actual harm
Few

Ensure services provided by the nursing facility meet professional standards of quality.

9/29/2210/13/22
2 - Minimal harm or potential for actual harm
Few

Ensure services provided by the nursing facility meet professional standards of quality.

6/8/226/23/22
2 - Minimal harm or potential for actual harm
Few

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

10/21/2211/4/22
2 - Minimal harm or potential for actual harm
Few

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

2/28/233/23/23
2 - Minimal harm or potential for actual harm
Few

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.

3/6/233/15/23
2 - Minimal harm or potential for actual harm
Few

Ensure each resident’s drug regimen must be free from unnecessary drugs.

1/6/233/15/23
2 - Minimal harm or potential for actual harm
Few

Ensure that residents are free from significant medication errors.

1/6/233/15/23
2 - Minimal harm or potential for actual harm
Some

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.

2/28/233/15/23
2 - Minimal harm or potential for actual harm
Few

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.

1/6/233/15/23
2 - Minimal harm or potential for actual harm
Few

Ensure that residents are free from significant medication errors.

10/21/2211/4/22
4 - Immediate jeopardy to resident health or safety
Few

Ensure that residents are free from significant medication errors.

10/5/2210/24/22
2 - Minimal harm or potential for actual harm
Some

Ensure that residents are free from significant medication errors.

4/8/224/26/22
2 - Minimal harm or potential for actual harm
Few

Ensure each resident’s drug regimen must be free from unnecessary drugs.

2/28/233/15/23
2 - Minimal harm or potential for actual harm
Few
Infection control inspection deficiencies in the past 3 years
This nursing home has not been cited for any deficiencies on infection control inspections in the last 3 years.
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Find Healthcare Providers: Compare Care Near YouFind Medicare-approved providers near you & compare care quality for nursing homes, doctors, hospitals, hospice centers, more. Official Medicare site.
What is Healthcare Provider Tool - Quick, Easy InfoLearn about new Medicare provider search tool that helps you choose Medicare providers & facilities & compare quality ratings. Official Medicare site.
Dialysis Facility Quality Of Patient Care RatingCompare dialysis facility performance with dialysis facility quality of patient care rating. Rated between 1-5 stars. Official Medicare site.
Dialysis Facility Patient Star Rating - 5 Star ScaleLearn about dialysis facility patient star ratings & see how patients rate experience between 1-5 stars. More stars, better quality care. Official Medicare site.
Home Health Agency Quality Of Patient Care Star RatingSee how home health agency quality of patient care star ratings are calculated, based on 8 care measures of process & outcome. Official Medicare site.
Patient Survey Rating For Home Health AgenciesUse patient survey rating for home health agencies to better understand quality of care for home health agencies. Learn more. Official Medicare site.
Star Rating For Hospitals - More Stars, Better CareLearn how star rating for hospitals weighs quality measures like mortality, safety of care, readmission, others into rating. Learn more. Official Medicare site.
Hospital Patient Survey Star Rating - 5 Star ScaleSee side-by-side hospital ratings with patient survey star rating. Based on patient experience coming from HCAHPS survey. Learn more. Official Medicare site.
Patient Survey Scores for Physicians & DoctorsGet info on patient survey scores for physicians to make best choice in doctor & care. Compare & see scores on doctors profile page. Official Medicare site.
Understanding MIPS Quality Performance MeasuresSee how doctor performance scores are calculated using MIPS quality performance measures. Know doctor ratings, get best care. Official Medicare site.
Medicare-Certified 4 Levels of Hospice CareUnderstand 4 levels of Medicare-certified hospice care. Routine home care, general inpatient care, continuous home care, respite. Official Medicare site.
Learn About Medicare's Types of Healthcare ProvidersLearn about healthcare provider types Medicare covers & see which care provider is best for you. Compare doctors, nursing homes, more. Official Medicare site.
Browse & Compare Local Healthcare Providers by TypeCompare healthcare providers near you & browse by healthcare specialty. General practitioners, neurologists, optometrists, more. Official Medicare site.