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Health Inspection Summary
Grace Healthcare Center
2939 S. Peach Avenue
Fresno, CA 93725
(559) 233-6248

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Deficiency Category
Inspection Date:
9/13/24
Complaint Reporting Period:
3/1/24 - 2/28/25
Inspection Date:
6/16/23
Complaint Reporting Period:
3/1/23 - 2/29/24
Inspection Date:
10/31/19
Complaint Reporting Period:
3/1/22 - 2/28/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies402
Quality of Life and Care Deficiencies155
Infection Control Deficiencies311
Resident Assessment and Care Planning Deficiencies462
Nursing and Physician Services Deficiencies131
Resident Rights Deficiencies222
Nutrition and Dietary Deficiencies354
Pharmacy Service Deficiencies441
Environmental Deficiencies321
Administration Deficiencies322

Detailed result for inspection on 9/13/24
Date of last standard health inspection:9/13/24Read the full report (PDF)
Date(s) of complaint inspection(s) between 3/1/24 - 2/28/25
Date(s) of infection control inspection(s) between 3/1/24 - 2/28/25
No infection control inspections
Total number of Health Deficiencies for this nursing home:28
Average number of Health Deficiencies in California:16.4
Average number of Health Deficiencies in the United States:9.6
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)

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

5/16/246/4/24
2 - Minimal harm or potential for actual harm
Few

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

9/13/2410/15/24
2 - Minimal harm or potential for actual harm
Few

Protect each resident from the wrongful use of the resident's belongings or money.

10/2/2411/15/24
2 - Minimal harm or potential for actual harm
Many

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

10/2/2411/15/24
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)

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.

9/13/2410/15/24
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)

Provide and implement an infection prevention and control program.

10/2/2411/15/24
2 - Minimal harm or potential for actual harm
Some

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

10/2/2411/15/24
2 - Minimal harm or potential for actual harm
Few

Provide and implement an infection prevention and control program.

9/13/2410/15/24
2 - Minimal harm or potential for actual harm
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)

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

9/13/2410/15/24
2 - Minimal harm or potential for actual harm
Few

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

9/13/2410/15/24
2 - Minimal harm or potential for actual harm
Few

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

9/13/2410/15/24
2 - Minimal harm or potential for actual harm
Some

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

9/13/2410/15/24
2 - Minimal harm or potential for actual harm
Some
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)

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

12/23/241/23/25
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)

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

9/13/2410/15/24
2 - Minimal harm or potential for actual harm
Few

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

9/13/2410/15/24
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)

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

9/13/2410/15/24
2 - Minimal harm or potential for actual harm
Many

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.

9/13/2410/15/24
2 - Minimal harm or potential for actual harm
Many

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

9/13/2410/15/24
2 - Minimal harm or potential for actual harm
Some
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)

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

9/13/2410/15/24
2 - Minimal harm or potential for actual harm
Few

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

10/2/2411/15/24
2 - Minimal harm or potential for actual harm
Many

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

10/2/2411/15/24
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.

9/13/2410/15/24
2 - Minimal harm or potential for actual harm
Some
Environmental Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Keep all essential equipment working safely.

9/13/2410/15/24
2 - Minimal harm or potential for actual harm
Few

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

9/13/2410/15/24
1 - Potential for minimal harm
Many

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

9/13/2410/15/24
2 - Minimal harm or potential for actual harm
Many
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)

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

10/2/2411/15/24
2 - Minimal harm or potential for actual harm
Some

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

10/2/2411/15/24
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.

10/2/2411/15/24
2 - Minimal harm or potential for actual harm
Some

Detailed result for inspection on 6/16/23
Date of last standard health inspection:6/16/23Read the full report (PDF)
Date(s) of complaint inspection(s) between 3/1/23 - 2/29/24
Date(s) of infection control inspection(s) between 3/1/23 - 2/29/24
No infection control inspections
Total number of Health Deficiencies for this nursing home:30
Average number of Health Deficiencies in California:17.2
Average number of Health Deficiencies in the United States:9.4
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 appropriate treatment and care according to orders, resident’s preferences and goals.

4/5/234/16/23
2 - Minimal harm or potential for actual harm
Some

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

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Some

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.

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Some

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

6/16/238/1/23
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.

8/22/239/5/23
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)

Provide and implement an infection prevention and control program.

6/16/238/1/23
2 - Minimal harm or potential for actual harm
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)

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

5/30/237/14/23
2 - Minimal harm or potential for actual harm
Few

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

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Some

Ensure each resident receives an accurate assessment.

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Many

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

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Some

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

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Some

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

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Some
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)

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

3/16/234/5/23
2 - Minimal harm or potential for actual harm
Some

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Few

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

4/5/234/16/23
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)

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.

8/22/239/5/23
2 - Minimal harm or potential for actual harm
Some

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

1/4/243/1/24
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)

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Some

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

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Some

Dispose of garbage and refuse properly.

6/16/238/1/23
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.

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Many

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Some
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.

3/16/234/5/23
2 - Minimal harm or potential for actual harm
Some

Ensure medication error rates are not 5 percent or greater.

6/16/238/1/23
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.

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Some

Ensure that residents are free from significant medication errors.

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Some
Environmental Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Few

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

6/16/238/1/23
1 - Potential for minimal harm
Some
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.

5/30/237/14/23
2 - Minimal harm or potential for actual harm
Many

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

3/16/234/5/23
2 - Minimal harm or potential for actual harm
Some

Detailed result for inspection on 10/31/19
Date of last standard health inspection:10/31/19Read the full report (PDF)
Date(s) of complaint inspection(s) between 3/1/22 - 2/28/23
Date(s) of infection control inspection(s) between 3/1/22 - 2/28/23
No infection control inspections
Total number of Health Deficiencies for this nursing home:21
Average number of Health Deficiencies in California:15.1
Average number of Health Deficiencies in the United States:8.7
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)

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

7/15/229/30/22
2 - Minimal harm or potential for actual harm
Few

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

7/15/227/23/22
4 - Immediate jeopardy to resident health or safety
Many
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 appropriate foot care.

11/8/2212/5/22
4 - Immediate jeopardy to resident health or safety
Some

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

11/8/2212/5/22
4 - Immediate jeopardy to resident health or safety
Some

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.

11/8/2212/5/22
2 - Minimal harm or potential for actual harm
Few

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

11/8/2212/5/22
4 - Immediate jeopardy to resident health or safety
Some

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

11/8/2212/5/22
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.

10/31/192/21/20
2 - Minimal harm or potential for actual harm
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 services provided by the nursing facility meet professional standards of quality.

10/31/192/21/20
2 - Minimal harm or potential for actual harm
Some

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

10/31/192/21/20
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.

11/8/2212/5/22
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)

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

10/31/192/21/20
2 - Minimal harm or potential for actual harm
Some

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

10/31/192/21/20
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.

11/8/2212/5/22
2 - Minimal harm or potential for actual harm
Many

Dispose of garbage and refuse properly.

10/31/192/21/20
2 - Minimal harm or potential for actual harm
Many

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

10/31/192/21/20
2 - Minimal harm or potential for actual harm
Some

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

10/31/192/21/20
2 - Minimal harm or potential for actual harm
Some
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 medication error rates are not 5 percent or greater.

10/31/192/21/20
2 - Minimal harm or potential for actual harm
Some
Environmental 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 resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

10/31/192/21/20
1 - Potential for minimal harm
Some
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.

7/15/227/23/22
2 - Minimal harm or potential for actual harm
Many

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

10/31/192/21/20
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)

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

5/16/246/4/24
2 - Minimal harm or potential for actual harm
Few

Protect each resident from the wrongful use of the resident's belongings or money.

10/2/2411/15/24
2 - Minimal harm or potential for actual harm
Many

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

10/2/2411/15/24
2 - Minimal harm or potential for actual harm
Few

Provide and implement an infection prevention and control program.

10/2/2411/15/24
2 - Minimal harm or potential for actual harm
Some

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

10/2/2411/15/24
2 - Minimal harm or potential for actual harm
Few

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

12/23/241/23/25
2 - Minimal harm or potential for actual harm
Few

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

10/2/2411/15/24
2 - Minimal harm or potential for actual harm
Many

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

10/2/2411/15/24
2 - Minimal harm or potential for actual harm
Some

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

10/2/2411/15/24
2 - Minimal harm or potential for actual harm
Some

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

10/2/2411/15/24
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.

10/2/2411/15/24
2 - Minimal harm or potential for actual harm
Some

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

4/5/234/16/23
2 - Minimal harm or potential for actual harm
Some

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

8/22/239/5/23
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.

5/30/237/14/23
2 - Minimal harm or potential for actual harm
Few

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

6/16/238/1/23
2 - Minimal harm or potential for actual harm
Some

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

3/16/234/5/23
2 - Minimal harm or potential for actual harm
Some

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

4/5/234/16/23
2 - Minimal harm or potential for actual harm
Many

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.

8/22/239/5/23
2 - Minimal harm or potential for actual harm
Some

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

1/4/243/1/24
2 - Minimal harm or potential for actual harm
Few

Ensure that residents are free from significant medication errors.

3/16/234/5/23
2 - Minimal harm or potential for actual harm
Some

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.

5/30/237/14/23
2 - Minimal harm or potential for actual harm
Many

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

3/16/234/5/23
2 - Minimal harm or potential for actual harm
Some

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

7/15/229/30/22
2 - Minimal harm or potential for actual harm
Few

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

7/15/227/23/22
4 - Immediate jeopardy to resident health or safety
Many

Provide appropriate foot care.

11/8/2212/5/22
4 - Immediate jeopardy to resident health or safety
Some

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

11/8/2212/5/22
4 - Immediate jeopardy to resident health or safety
Some

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.

11/8/2212/5/22
2 - Minimal harm or potential for actual harm
Few

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

11/8/2212/5/22
4 - Immediate jeopardy to resident health or safety
Some

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

11/8/2212/5/22
2 - Minimal harm or potential for actual harm
Some

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.

11/8/2212/5/22
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.

11/8/2212/5/22
2 - Minimal harm or potential for actual harm
Many

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

7/15/227/23/22
2 - Minimal harm or potential for actual harm
Many
Infection control inspection deficiencies in the past 3 years
This nursing home has not had any infection control inspections in the past 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.