PATAPSCO HEALTHCARE

• F0842 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Mar 16, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150033:ccn:215084

  View official CMS source

• F0580 — Resident Rights Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Oct 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150034:ccn:215084

  View official CMS source

• F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

  Respond appropriately to all alleged violations.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Oct 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150035:ccn:215084

  View official CMS source

• F0628 — Resident Rights Deficiencies

  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Oct 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150036:ccn:215084

  View official CMS source

• F0680 — Quality of Life and Care Deficiencies

  Ensure the activities program is directed by a qualified professional.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Oct 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150037:ccn:215084

  View official CMS source

• F0850 — Administration Deficiencies

  Hire a qualified full-time social worker in a facility with more than 120 beds.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Oct 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150038:ccn:215084

  View official CMS source

No health-deficiency rows were deterministically linked to this inspection.

• F0602 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150063:ccn:215084

  View official CMS source

• F0550 — Resident Rights Deficiencies

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

  CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150040:ccn:215084

  View official CMS source

• F0584 — Resident Rights Deficiencies

  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.

  CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150041:ccn:215084

  View official CMS source

• F0640 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150049:ccn:215084

  View official CMS source

• F0646 — Resident Assessment and Care Planning Deficiencies

  Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150050:ccn:215084

  View official CMS source

• F0655 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150043:ccn:215084

  View official CMS source

• F0656 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150051:ccn:215084

  View official CMS source

• F0657 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 30, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150052:ccn:215084

  View official CMS source

• F0658 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 30, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150053:ccn:215084

  View official CMS source

• F0690 — Quality of Life and Care Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150054:ccn:215084

  View official CMS source

• F0711 — Nursing and Physician Services Deficiencies

  Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150046:ccn:215084

  View official CMS source

• F0732 — Nursing and Physician Services Deficiencies

  Post nurse staffing information every day.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150055:ccn:215084

  View official CMS source

• F0755 — Pharmacy Service Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150056:ccn:215084

  View official CMS source

• F0761 — Pharmacy Service Deficiencies

  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.

  CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.

  Correction status: Deficient, Provider has date of correction (Dec 30, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150039:ccn:215084

  View official CMS source

• F0791 — Quality of Life and Care Deficiencies

  Provide or obtain dental services for each resident.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150057:ccn:215084

  View official CMS source

• F0812 — Nutrition and Dietary Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150058:ccn:215084

  View official CMS source

• F0838 — Administration Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150059:ccn:215084

  View official CMS source

• F0842 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150060:ccn:215084

  View official CMS source

• F0880 — Infection Control Deficiencies

  Provide and implement an infection prevention and control program.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150061:ccn:215084

  View official CMS source

• F0908 — Environmental Deficiencies

  Keep all essential equipment working safely.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150062:ccn:215084

  View official CMS source

• F0550 — Resident Rights Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150087:ccn:215084

  View official CMS source

• F0563 — Resident Rights Deficiencies

  Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150097:ccn:215084

  View official CMS source

• F0580 — Resident Rights Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150098:ccn:215084

  View official CMS source

• F0584 — Resident Rights Deficiencies

  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.

  CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150081:ccn:215084

  View official CMS source

• F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

  CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 3, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150080:ccn:215084

  View official CMS source

• F0602 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150099:ccn:215084

  View official CMS source

• F0607 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150088:ccn:215084

  View official CMS source

• F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150089:ccn:215084

  View official CMS source

• F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

  Respond appropriately to all alleged violations.

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150090:ccn:215084

  View official CMS source

• F0641 — Resident Assessment and Care Planning Deficiencies

  Ensure each resident receives an accurate assessment.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150100:ccn:215084

  View official CMS source

• F0657 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150091:ccn:215084

  View official CMS source

• F0660 — Resident Assessment and Care Planning Deficiencies

  Plan the resident's discharge to meet the resident's goals and needs.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150101:ccn:215084

  View official CMS source

• F0677 — Quality of Life and Care Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150102:ccn:215084

  View official CMS source

• F0684 — Quality of Life and Care Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Nov 3, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150092:ccn:215084

  View official CMS source

• F0685 — Quality of Life and Care Deficiencies

  Assist a resident in gaining access to vision and hearing services.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150103:ccn:215084

  View official CMS source

• F0686 — Quality of Life and Care Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150104:ccn:215084

  View official CMS source

• F0689 — Quality of Life and Care Deficiencies

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

  CMS scope/severity J: Isolated; Immediate jeopardy to resident health or safety.

  Correction status: Past Non-Compliance (May 22, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150079:ccn:215084

  View official CMS source

• F0711 — Nursing and Physician Services Deficiencies

  Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150105:ccn:215084

  View official CMS source

• F0712 — Nursing and Physician Services Deficiencies

  Ensure that the resident and his/her doctor meet face-to-face at all required visits.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150106:ccn:215084

  View official CMS source

• F0726 — Nursing and Physician Services Deficiencies

  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.

  CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150082:ccn:215084

  View official CMS source

• F0730 — Nursing and Physician Services Deficiencies

  Observe each nurse aide's job performance and give regular training.

  CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150083:ccn:215084

  View official CMS source

• F0740 — Quality of Life and Care Deficiencies

  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150107:ccn:215084

  View official CMS source

• F0755 — Pharmacy Service Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150108:ccn:215084

  View official CMS source

• F0757 — Pharmacy Service Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150109:ccn:215084

  View official CMS source

• F0761 — Pharmacy Service Deficiencies

  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.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150110:ccn:215084

  View official CMS source

• F0812 — Nutrition and Dietary Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150093:ccn:215084

  View official CMS source

• F0838 — Administration Deficiencies

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

  CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150084:ccn:215084

  View official CMS source

• F0840 — Administration Deficiencies

  Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150111:ccn:215084

  View official CMS source

• F0842 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150112:ccn:215084

  View official CMS source

• F0843 — Administration Deficiencies

  Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150113:ccn:215084

  View official CMS source

• F0850 — Administration Deficiencies

  Hire a qualified full-time social worker in a facility with more than 120 beds.

  CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150085:ccn:215084

  View official CMS source

• F0868 — Administration Deficiencies

  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150094:ccn:215084

  View official CMS source

• F0880 — Infection Control Deficiencies

  Provide and implement an infection prevention and control program.

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150095:ccn:215084

  View official CMS source

• F0921 — Environmental Deficiencies

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

  CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150086:ccn:215084

  View official CMS source

• F0925 — Environmental Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Sep 27, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150096:ccn:215084

  View official CMS source

No health-deficiency rows were deterministically linked to this inspection.

• F0550 — Resident Rights Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150069:ccn:215084

  View official CMS source

• F0580 — Resident Rights Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150070:ccn:215084

  View official CMS source

• F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

  Respond appropriately to all alleged violations.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150071:ccn:215084

  View official CMS source

• F0641 — Resident Assessment and Care Planning Deficiencies

  Ensure each resident receives an accurate assessment.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150072:ccn:215084

  View official CMS source

• F0656 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150073:ccn:215084

  View official CMS source

• F0684 — Quality of Life and Care Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150064:ccn:215084

  View official CMS source

• F0685 — Quality of Life and Care Deficiencies

  Assist a resident in gaining access to vision and hearing services.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150074:ccn:215084

  View official CMS source

• F0756 — Pharmacy Service Deficiencies

  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150065:ccn:215084

  View official CMS source

• F0757 — Pharmacy Service Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150075:ccn:215084

  View official CMS source

• F0758 — Pharmacy Service Deficiencies

  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.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150076:ccn:215084

  View official CMS source

• F0759 — Pharmacy Service Deficiencies

  Ensure medication error rates are not 5 percent or greater.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150077:ccn:215084

  View official CMS source

• F0761 — Pharmacy Service Deficiencies

  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.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150078:ccn:215084

  View official CMS source

• F0791 — Quality of Life and Care Deficiencies

  Provide or obtain dental services for each resident.

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150066:ccn:215084

  View official CMS source

• F0836 — Administration Deficiencies

  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.

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150067:ccn:215084

  View official CMS source

• F0842 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Dec 2, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150068:ccn:215084

  View official CMS source

No health-deficiency rows were deterministically linked to this inspection.

• F0550 — Resident Rights Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150116:ccn:215084

  View official CMS source

• F0557 — Resident Rights Deficiencies

  Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150129:ccn:215084

  View official CMS source

• F0558 — Resident Rights Deficiencies

  Reasonably accommodate the needs and preferences of each resident.

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150117:ccn:215084

  View official CMS source

• F0561 — Resident Rights Deficiencies

  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150130:ccn:215084

  View official CMS source

• F0565 — Resident Rights Deficiencies

  Honor the resident's right to organize and participate in resident/family groups in the facility.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150131:ccn:215084

  View official CMS source

• F0580 — Resident Rights Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150132:ccn:215084

  View official CMS source

• F0600 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150118:ccn:215084

  View official CMS source

• F0608 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

  Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150133:ccn:215084

  View official CMS source

• F0609 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150134:ccn:215084

  View official CMS source

• F0610 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

  Respond appropriately to all alleged violations.

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150119:ccn:215084

  View official CMS source

• F0622 — Resident Rights Deficiencies

  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.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150135:ccn:215084

  View official CMS source

• F0623 — Resident Rights Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150120:ccn:215084

  View official CMS source

• F0625 — Resident Rights Deficiencies

  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.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150136:ccn:215084

  View official CMS source

• F0636 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150137:ccn:215084

  View official CMS source

• F0641 — Resident Assessment and Care Planning Deficiencies

  Ensure each resident receives an accurate assessment.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150138:ccn:215084

  View official CMS source

• F0645 — Resident Assessment and Care Planning Deficiencies

  PASARR screening for Mental disorders or Intellectual Disabilities

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150139:ccn:215084

  View official CMS source

• F0656 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150121:ccn:215084

  View official CMS source

• F0657 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150122:ccn:215084

  View official CMS source

• F0658 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150123:ccn:215084

  View official CMS source

• F0677 — Quality of Life and Care Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150140:ccn:215084

  View official CMS source

• F0684 — Quality of Life and Care Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150124:ccn:215084

  View official CMS source

• F0689 — Quality of Life and Care Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150141:ccn:215084

  View official CMS source

• F0692 — Quality of Life and Care Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150142:ccn:215084

  View official CMS source

• F0695 — Quality of Life and Care Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150143:ccn:215084

  View official CMS source

• F0697 — Quality of Life and Care Deficiencies

  Provide safe, appropriate pain management for a resident who requires such services.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150144:ccn:215084

  View official CMS source

• F0698 — Quality of Life and Care Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150145:ccn:215084

  View official CMS source

• F0725 — Nursing and Physician Services Deficiencies

  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150146:ccn:215084

  View official CMS source

• F0726 — Nursing and Physician Services Deficiencies

  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.

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150125:ccn:215084

  View official CMS source

• F0732 — Nursing and Physician Services Deficiencies

  Post nurse staffing information every day.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150147:ccn:215084

  View official CMS source

• F0745 — Quality of Life and Care Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150148:ccn:215084

  View official CMS source

• F0756 — Pharmacy Service Deficiencies

  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150149:ccn:215084

  View official CMS source

• F0757 — Pharmacy Service Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150150:ccn:215084

  View official CMS source

• F0758 — Pharmacy Service Deficiencies

  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.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150151:ccn:215084

  View official CMS source

• F0759 — Pharmacy Service Deficiencies

  Ensure medication error rates are not 5 percent or greater.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150152:ccn:215084

  View official CMS source

• F0761 — Pharmacy Service Deficiencies

  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.

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150126:ccn:215084

  View official CMS source

• F0770 — Administration Deficiencies

  Provide timely, quality laboratory services/tests to meet the needs of residents.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150153:ccn:215084

  View official CMS source

• F0773 — Administration Deficiencies

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

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150154:ccn:215084

  View official CMS source

• F0775 — Administration Deficiencies

  Keep complete, dated laboratory records in the resident's record.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150155:ccn:215084

  View official CMS source

• F0803 — Nutrition and Dietary Deficiencies

  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.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150156:ccn:215084

  View official CMS source

• F0812 — Nutrition and Dietary Deficiencies

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

  CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150114:ccn:215084

  View official CMS source

• F0836 — Administration Deficiencies

  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.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150157:ccn:215084

  View official CMS source

• F0842 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150127:ccn:215084

  View official CMS source

• F0843 — Administration Deficiencies

  Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150158:ccn:215084

  View official CMS source

• F0867 — Administration Deficiencies

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

  CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150115:ccn:215084

  View official CMS source

• F0880 — Infection Control Deficiencies

  Provide and implement an infection prevention and control program.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150159:ccn:215084

  View official CMS source

• F0883 — Infection Control Deficiencies

  Develop and implement policies and procedures for flu and pneumonia vaccinations.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150160:ccn:215084

  View official CMS source

• F0921 — Environmental Deficiencies

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

  CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150128:ccn:215084

  View official CMS source

• F0923 — Environmental Deficiencies

  Have enough outside ventilation via a window or mechanical ventilation, or both.

  CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.

  Correction status: Deficient, Provider has date of correction (Jul 7, 2018)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  215084

  Source record locator

  csv-row:150161:ccn:215084

  View official CMS source