Below, swipe left and right to view more info.
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 Deficiencies | |||
Quality of Life and Care Deficiencies | |||
Infection Control Deficiencies | |||
Resident Assessment and Care Planning Deficiencies | |||
Nursing and Physician Services Deficiencies | |||
Resident Rights Deficiencies | |||
Nutrition and Dietary Deficiencies | |||
Pharmacy Service Deficiencies | |||
Environmental Deficiencies | |||
Administration Deficiencies |
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 | 12/23/24Read the full report (PDF) 10/2/24Read the full report (PDF) 5/16/24Read the full report (PDF) |
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: | |
Average number of Health Deficiencies in California: | |
Average number of Health Deficiencies in the United States: |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 5/16/24 | 6/4/24 | 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. | 9/13/24 | 10/15/24 | 2 - Minimal harm or potential for actual harm | Few |
Protect each resident from the wrongful use of the resident's belongings or money. | 10/2/24 | 11/15/24 | 2 - Minimal harm or potential for actual harm | Many |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 10/2/24 | 11/15/24 | 2 - Minimal harm or potential for actual harm | Few |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 9/13/24 | 10/15/24 | 2 - Minimal harm or potential for actual harm | Few |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | 10/2/24 | 11/15/24 | 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. | 10/2/24 | 11/15/24 | 2 - Minimal harm or potential for actual harm | Few |
Provide and implement an infection prevention and control program. | 9/13/24 | 10/15/24 | 2 - Minimal harm or potential for actual harm | Many |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 9/13/24 | 10/15/24 | 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. | 9/13/24 | 10/15/24 | 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. | 9/13/24 | 10/15/24 | 2 - Minimal harm or potential for actual harm | Some |
Ensure services provided by the nursing facility meet professional standards of quality. | 9/13/24 | 10/15/24 | 2 - Minimal harm or potential for actual harm | Some |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 12/23/24 | 1/23/25 | 2 - Minimal harm or potential for actual harm | Few |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 9/13/24 | 10/15/24 | 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. | 9/13/24 | 10/15/24 | 2 - Minimal harm or potential for actual harm | Few |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 9/13/24 | 10/15/24 | 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. | 9/13/24 | 10/15/24 | 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. | 9/13/24 | 10/15/24 | 2 - Minimal harm or potential for actual harm | Some |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 9/13/24 | 10/15/24 | 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. | 10/2/24 | 11/15/24 | 2 - Minimal harm or potential for actual harm | Many |
Ensure each resident’s drug regimen must be free from unnecessary drugs. | 10/2/24 | 11/15/24 | 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. | 9/13/24 | 10/15/24 | 2 - Minimal harm or potential for actual harm | Some |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Keep all essential equipment working safely. | 9/13/24 | 10/15/24 | 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. | 9/13/24 | 10/15/24 | 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. | 9/13/24 | 10/15/24 | 2 - Minimal harm or potential for actual harm | Many |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 10/2/24 | 11/15/24 | 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. | 10/2/24 | 11/15/24 | 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. | 10/2/24 | 11/15/24 | 2 - Minimal harm or potential for actual harm | Some |
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 | 8/22/23Read the full report (PDF) 6/16/23Read the full report (PDF) 5/30/23Read the full report (PDF) 3/16/23Read the full report (PDF) |
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: | |
Average number of Health Deficiencies in California: | |
Average number of Health Deficiencies in the United States: |
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period. |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 4/5/23 | 4/16/23 | 2 - Minimal harm or potential for actual harm | Some |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 6/16/23 | 8/1/23 | 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. | 6/16/23 | 8/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Provide enough food/fluids to maintain a resident's health. | 6/16/23 | 8/1/23 | 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. | 8/22/23 | 9/5/23 | 2 - Minimal harm or potential for actual harm | Few |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | 6/16/23 | 8/1/23 | 2 - Minimal harm or potential for actual harm | Many |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 5/30/23 | 7/14/23 | 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. | 6/16/23 | 8/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Ensure each resident receives an accurate assessment. | 6/16/23 | 8/1/23 | 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. | 6/16/23 | 8/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Assure that each resident’s assessment is updated at least once every 3 months. | 6/16/23 | 8/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Ensure services provided by the nursing facility meet professional standards of quality. | 6/16/23 | 8/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 3/16/23 | 4/5/23 | 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. | 6/16/23 | 8/1/23 | 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. | 4/5/23 | 4/16/23 | 2 - Minimal harm or potential for actual harm | Many |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 8/22/23 | 9/5/23 | 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. | 1/4/24 | 3/1/24 | 2 - Minimal harm or potential for actual harm | Few |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 6/16/23 | 8/1/23 | 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. | 6/16/23 | 8/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Dispose of garbage and refuse properly. | 6/16/23 | 8/1/23 | 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. | 6/16/23 | 8/1/23 | 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. | 6/16/23 | 8/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Ensure that residents are free from significant medication errors. | 3/16/23 | 4/5/23 | 2 - Minimal harm or potential for actual harm | Some |
Ensure medication error rates are not 5 percent or greater. | 6/16/23 | 8/1/23 | 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. | 6/16/23 | 8/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Ensure that residents are free from significant medication errors. | 6/16/23 | 8/1/23 | 2 - Minimal harm or potential for actual harm | Some |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 6/16/23 | 8/1/23 | 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. | 6/16/23 | 8/1/23 | 1 - Potential for minimal harm | Some |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 5/30/23 | 7/14/23 | 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. | 3/16/23 | 4/5/23 | 2 - Minimal harm or potential for actual harm | Some |
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 | 11/8/22Read the full report (PDF) 7/15/22Read the full report (PDF) |
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: | |
Average number of Health Deficiencies in California: | |
Average number of Health Deficiencies in the United States: |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 7/15/22 | 9/30/22 | 2 - Minimal harm or potential for actual harm | Few |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 7/15/22 | 7/23/22 | 4 - Immediate jeopardy to resident health or safety | Many |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Provide appropriate foot care. | 11/8/22 | 12/5/22 | 4 - Immediate jeopardy to resident health or safety | Some |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 11/8/22 | 12/5/22 | 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. | 11/8/22 | 12/5/22 | 2 - Minimal harm or potential for actual harm | Few |
Provide enough food/fluids to maintain a resident's health. | 11/8/22 | 12/5/22 | 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. | 11/8/22 | 12/5/22 | 2 - Minimal harm or potential for actual harm | Some |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | 10/31/19 | 2/21/20 | 2 - Minimal harm or potential for actual harm | Many |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 10/31/19 | 2/21/20 | 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. | 10/31/19 | 2/21/20 | 2 - Minimal harm or potential for actual harm | Few |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 11/8/22 | 12/5/22 | 2 - Minimal harm or potential for actual harm | Few |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 10/31/19 | 2/21/20 | 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. | 10/31/19 | 2/21/20 | 2 - Minimal harm or potential for actual harm | Few |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 11/8/22 | 12/5/22 | 2 - Minimal harm or potential for actual harm | Many |
Dispose of garbage and refuse properly. | 10/31/19 | 2/21/20 | 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. | 10/31/19 | 2/21/20 | 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. | 10/31/19 | 2/21/20 | 2 - Minimal harm or potential for actual harm | Some |
Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
---|---|---|---|---|
Ensure medication error rates are not 5 percent or greater. | 10/31/19 | 2/21/20 | 2 - Minimal harm or potential for actual harm | Some |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 10/31/19 | 2/21/20 | 1 - Potential for minimal harm | Some |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 7/15/22 | 7/23/22 | 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. | 10/31/19 | 2/21/20 | 2 - Minimal harm or potential for actual harm | Many |
Inspectors determined that the nursing home failed to: | Inspection Date | Date 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. | 5/16/24 | 6/4/24 | 2 - Minimal harm or potential for actual harm | Few |
Protect each resident from the wrongful use of the resident's belongings or money. | 10/2/24 | 11/15/24 | 2 - Minimal harm or potential for actual harm | Many |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 10/2/24 | 11/15/24 | 2 - Minimal harm or potential for actual harm | Few |
Provide and implement an infection prevention and control program. | 10/2/24 | 11/15/24 | 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. | 10/2/24 | 11/15/24 | 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. | 12/23/24 | 1/23/25 | 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. | 10/2/24 | 11/15/24 | 2 - Minimal harm or potential for actual harm | Many |
Ensure each resident’s drug regimen must be free from unnecessary drugs. | 10/2/24 | 11/15/24 | 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. | 10/2/24 | 11/15/24 | 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. | 10/2/24 | 11/15/24 | 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. | 10/2/24 | 11/15/24 | 2 - Minimal harm or potential for actual harm | Some |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 4/5/23 | 4/16/23 | 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. | 8/22/23 | 9/5/23 | 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. | 5/30/23 | 7/14/23 | 2 - Minimal harm or potential for actual harm | Few |
Ensure services provided by the nursing facility meet professional standards of quality. | 6/16/23 | 8/1/23 | 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. | 3/16/23 | 4/5/23 | 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. | 4/5/23 | 4/16/23 | 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. | 8/22/23 | 9/5/23 | 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. | 1/4/24 | 3/1/24 | 2 - Minimal harm or potential for actual harm | Few |
Ensure that residents are free from significant medication errors. | 3/16/23 | 4/5/23 | 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. | 5/30/23 | 7/14/23 | 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. | 3/16/23 | 4/5/23 | 2 - Minimal harm or potential for actual harm | Some |
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | 7/15/22 | 9/30/22 | 2 - Minimal harm or potential for actual harm | Few |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | 7/15/22 | 7/23/22 | 4 - Immediate jeopardy to resident health or safety | Many |
Provide appropriate foot care. | 11/8/22 | 12/5/22 | 4 - Immediate jeopardy to resident health or safety | Some |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 11/8/22 | 12/5/22 | 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. | 11/8/22 | 12/5/22 | 2 - Minimal harm or potential for actual harm | Few |
Provide enough food/fluids to maintain a resident's health. | 11/8/22 | 12/5/22 | 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. | 11/8/22 | 12/5/22 | 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. | 11/8/22 | 12/5/22 | 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. | 11/8/22 | 12/5/22 | 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. | 7/15/22 | 7/23/22 | 2 - Minimal harm or potential for actual harm | Many |
This nursing home has not had any infection control inspections in the past 3 years. |