BELOVED HEALTH AND REHABILITATION CENTER

• 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 (Mar 28, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200735:ccn:265462

  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 (Mar 17, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200737:ccn:265462

  View official CMS source

• F0809 — Nutrition and Dietary Deficiencies

  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

  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 17, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200736:ccn:265462

  View official CMS source

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

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

• 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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200696:ccn:265462

  View official CMS source

• F0570 — Resident Rights Deficiencies

  Assure the security of all personal funds of residents deposited with the facility.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200688:ccn:265462

  View official CMS source

• F0572 — Resident Rights Deficiencies

  Give residents a notice of rights, rules, services and charges.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200689:ccn:265462

  View official CMS source

• F0577 — Resident Rights Deficiencies

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

  CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200729:ccn:265462

  View official CMS source

• F0582 — Resident Rights Deficiencies

  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200699:ccn:265462

  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 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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200700:ccn:265462

  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 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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200690:ccn:265462

  View official CMS source

• F0620 — Resident Rights Deficiencies

  Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

  CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200733:ccn:265462

  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 C: Widespread; No actual harm with potential for minimal harm.

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200730:ccn:265462

  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 C: Widespread; No actual harm with potential for minimal harm.

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200731:ccn:265462

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200723:ccn:265462

  View official CMS source

• F0637 — Resident Assessment and Care Planning Deficiencies

  Assess the resident when there is 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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200724:ccn:265462

  View official CMS source

• F0641 — Resident Assessment and Care Planning Deficiencies

  Ensure each resident receives an accurate assessment.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200702:ccn:265462

  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 (Mar 17, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200703:ccn:265462

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200725:ccn:265462

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200726:ccn:265462

  View official CMS source

• F0687 — Quality of Life and Care Deficiencies

  Provide appropriate foot care.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200705:ccn:265462

  View official CMS source

• F0688 — Quality of Life and Care Deficiencies

  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.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200706:ccn:265462

  View official CMS source

• F0700 — Quality of Life and Care Deficiencies

  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.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200707:ccn:265462

  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 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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200708:ccn:265462

  View official CMS source

• F0728 — Nursing and Physician Services Deficiencies

  Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate 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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200691:ccn:265462

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200709:ccn:265462

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200727:ccn:265462

  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 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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200692:ccn:265462

  View official CMS source

• F0806 — Nutrition and Dietary Deficiencies

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

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200710:ccn:265462

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200693:ccn:265462

  View official CMS source

• F0835 — Administration Deficiencies

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

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200694:ccn:265462

  View official CMS source

• F0847 — Administration Deficiencies

  Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

  CMS scope/severity B: Pattern; No actual harm with potential for minimal harm.

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200734:ccn:265462

  View official CMS source

• F0851 — Administration Deficiencies

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

  CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200732:ccn:265462

  View official CMS source

• F0880 — Infection Control Deficiencies

  Provide and implement an infection prevention and control program.

  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 (Mar 17, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200695:ccn:265462

  View official CMS source

• F0883 — Infection Control Deficiencies

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

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200712:ccn:265462

  View official CMS source

• F0887 — Infection Control Deficiencies

  Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200713:ccn:265462

  View official CMS source

• F0919 — Environmental Deficiencies

  Make sure that a working call system is available in each resident's bathroom and bathing area.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200714:ccn:265462

  View official CMS source

• F0941 — Administration Deficiencies

  Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200715:ccn:265462

  View official CMS source

• F0942 — Resident Rights Deficiencies

  Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200716:ccn:265462

  View official CMS source

• F0943 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

  Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200717:ccn:265462

  View official CMS source

• F0944 — Administration Deficiencies

  Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement 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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200728:ccn:265462

  View official CMS source

• F0945 — Infection Control Deficiencies

  Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the 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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200718:ccn:265462

  View official CMS source

• F0946 — Administration Deficiencies

  Provide training in compliance and ethics.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200719:ccn:265462

  View official CMS source

• F0947 — Nursing and Physician Services Deficiencies

  Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200720:ccn:265462

  View official CMS source

• F0949 — Administration Deficiencies

  Provide behavior health training consistent with the requirements and as determined by a facility assessment.

  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 (Jan 13, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200721:ccn:265462

  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 G: Isolated; Actual harm that is not immediate jeopardy.

  Correction status: Past Non-Compliance (Aug 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200738:ccn:265462

  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 G: Isolated; Actual harm that is not immediate jeopardy.

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200740:ccn:265462

  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 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 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200743:ccn:265462

  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 G: Isolated; Actual harm that is not immediate jeopardy.

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200741:ccn:265462

  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 G: Isolated; Actual harm that is not immediate jeopardy.

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200742:ccn:265462

  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 J: Isolated; Immediate jeopardy to resident health or safety.

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200739:ccn:265462

  View official CMS source

• F0806 — Nutrition and Dietary Deficiencies

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

  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 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200744:ccn:265462

  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 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 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200781:ccn:265462

  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 (Jul 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200780:ccn:265462

  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 (Sep 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200782:ccn:265462

  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: Deficient, Provider has date of correction (Jul 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200779:ccn:265462

  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 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 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200783:ccn:265462

  View official CMS source

• F0804 — Nutrition and Dietary Deficiencies

  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  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 (Jun 26, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200784:ccn:265462

  View official CMS source

• F0806 — Nutrition and Dietary Deficiencies

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

  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 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200785:ccn:265462

  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 (May 24, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200786:ccn:265462

  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 G: Isolated; Actual harm that is not immediate jeopardy.

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200788:ccn:265462

  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 (Sep 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200799:ccn:265462

  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 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 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200792:ccn:265462

  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 G: Isolated; Actual harm that is not immediate jeopardy.

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200789:ccn:265462

  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 G: Isolated; Actual harm that is not immediate jeopardy.

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200790:ccn:265462

  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 J: Isolated; Immediate jeopardy to resident health or safety.

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200787:ccn:265462

  View official CMS source

• F0742 — Quality of Life and Care Deficiencies

  Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

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

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200791:ccn:265462

  View official CMS source

• F0760 — Pharmacy Service Deficiencies

  Ensure that residents are free from significant medication errors.

  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 (May 14, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200793:ccn:265462

  View official CMS source

• F0804 — Nutrition and Dietary Deficiencies

  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  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 (Jun 26, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200794:ccn:265462

  View official CMS source

• F0806 — Nutrition and Dietary Deficiencies

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

  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 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200795:ccn:265462

  View official CMS source

• F0809 — Nutrition and Dietary Deficiencies

  Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

  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 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200796:ccn:265462

  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 (May 14, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200797:ccn:265462

  View official CMS source

• F0919 — Environmental Deficiencies

  Make sure that a working call system is available in each resident's bathroom and bathing area.

  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 25, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200798:ccn:265462

  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 (Mar 19, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200801:ccn:265462

  View official CMS source

• F0790 — Quality of Life and Care Deficiencies

  Provide routine and 24-hour emergency dental care 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 (Mar 19, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200802:ccn:265462

  View official CMS source

• F0806 — Nutrition and Dietary Deficiencies

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

  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 19, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200800:ccn:265462

  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 (Jan 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200804:ccn:265462

  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 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 (Jan 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200803:ccn:265462

  View official CMS source

• F0825 — Quality of Life and Care Deficiencies

  Provide or get specialized rehabilitative services as required for a 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 (Jan 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200805:ccn:265462

  View official CMS source

• F0567 — Resident Rights Deficiencies

  Honor the resident's right to manage his or her financial affairs.

  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 4, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200806:ccn:265462

  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 (Sep 14, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200807:ccn:265462

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200764:ccn:265462

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200765:ccn:265462

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200766:ccn:265462

  View official CMS source

• F0569 — Resident Rights Deficiencies

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

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200749:ccn:265462

  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 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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200750:ccn:265462

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200767:ccn:265462

  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 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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200745:ccn:265462

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200768:ccn:265462

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200769:ccn:265462

  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 C: Widespread; No actual harm with potential for minimal harm.

  Correction status: Deficient, Provider has date of correction (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200776:ccn:265462

  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 C: Widespread; No actual harm with potential for minimal harm.

  Correction status: Deficient, Provider has date of correction (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200777:ccn:265462

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200770:ccn:265462

  View official CMS source

• F0641 — Resident Assessment and Care Planning Deficiencies

  Ensure each resident receives an accurate assessment.

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200751:ccn:265462

  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 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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200771:ccn:265462

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200752:ccn:265462

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200753:ccn:265462

  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 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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200754:ccn:265462

  View official CMS source

• F0688 — Quality of Life and Care Deficiencies

  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.

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200772:ccn:265462

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200773:ccn:265462

  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 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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200755:ccn:265462

  View official CMS source

• F0700 — Quality of Life and Care Deficiencies

  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.

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200756:ccn:265462

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200757:ccn:265462

  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 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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200758:ccn:265462

  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 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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200759:ccn:265462

  View official CMS source

• F0727 — Nursing and Physician Services Deficiencies

  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.

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200760:ccn:265462

  View official CMS source

• F0732 — Nursing and Physician Services Deficiencies

  Post nurse staffing information every day.

  CMS scope/severity C: Widespread; No actual harm with potential for minimal harm.

  Correction status: Deficient, Provider has date of correction (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200778:ccn:265462

  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 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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200761:ccn:265462

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200774:ccn:265462

  View official CMS source

• F0806 — Nutrition and Dietary Deficiencies

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

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200775:ccn:265462

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200746:ccn:265462

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200762:ccn:265462

  View official CMS source

• F0881 — Infection Control Deficiencies

  Implement a program that monitors antibiotic use.

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200747:ccn:265462

  View official CMS source

• F0883 — Infection Control Deficiencies

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

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200763:ccn:265462

  View official CMS source

• F0886 — Infection Control Deficiencies

  Perform COVID19 testing on residents and staff.

  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 (Jan 21, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200748:ccn:265462

  View official CMS source

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

• F0565 — Resident Rights Deficiencies

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

  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 (Jun 12, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200808:ccn:265462

  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 (Jun 12, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200809:ccn:265462

  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 (Jun 12, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200814:ccn:265462

  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 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 (Jun 12, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200815:ccn:265462

  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 (Jun 12, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200816:ccn:265462

  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 (Jun 12, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200817:ccn:265462

  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 (Jun 12, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200818:ccn:265462

  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 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 (Jun 12, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200810:ccn:265462

  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 (Jun 12, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200811:ccn:265462

  View official CMS source

• F0804 — Nutrition and Dietary Deficiencies

  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  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 (Jun 12, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200812:ccn:265462

  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 (Jun 12, 2019)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  265462

  Source record locator

  csv-row:200813:ccn:265462

  View official CMS source