ROCHESTER RESIDENCE AND CARE CENTER

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

• F0844 — Administration Deficiencies

  Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

  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 (Apr 28, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306469:ccn:395751

  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 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 (Apr 28, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306470:ccn:395751

  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 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 (Apr 28, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306471:ccn:395751

  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 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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306487:ccn:395751

  View official CMS source

• F0605 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306488:ccn:395751

  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 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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306489:ccn:395751

  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 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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306478:ccn:395751

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306490:ccn:395751

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306479:ccn:395751

  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 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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306480:ccn:395751

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306472:ccn:395751

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306491:ccn:395751

  View official CMS source

• F0694 — Quality of Life and Care Deficiencies

  Provide for the safe, appropriate administration of IV fluids 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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306492:ccn:395751

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306481:ccn:395751

  View official CMS source

• F0730 — Nursing and Physician Services Deficiencies

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

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306493:ccn:395751

  View official CMS source

• F0744 — Quality of Life and Care Deficiencies

  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306494:ccn:395751

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306482:ccn:395751

  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 (May 19, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306474:ccn:395751

  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 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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306483:ccn:395751

  View official CMS source

• F0849 — Administration Deficiencies

  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306484:ccn:395751

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306475:ccn:395751

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306485:ccn:395751

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306486:ccn:395751

  View official CMS source

• F0908 — Environmental Deficiencies

  Keep all essential equipment working 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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306476:ccn:395751

  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 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 (Apr 13, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306477:ccn:395751

  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 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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306495:ccn:395751

  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 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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306496:ccn:395751

  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 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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306497:ccn:395751

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306498:ccn:395751

  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 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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306499:ccn:395751

  View official CMS source

• F0946 — Administration Deficiencies

  Provide training in compliance and ethics.

  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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306500:ccn:395751

  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 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 (Apr 3, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306501:ccn:395751

  View official CMS source

• F0554 — Resident Rights Deficiencies

  Allow residents to self-administer drugs if determined clinically appropriate.

  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 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306504:ccn:395751

  View official CMS source

• F0583 — Resident Rights Deficiencies

  Keep residents' personal and medical records private and confidential.

  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 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306505:ccn:395751

  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 L: Widespread; Immediate jeopardy to resident health or safety.

  Correction status: Deficient, Provider has date of correction (Mar 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306502:ccn:395751

  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 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306506:ccn:395751

  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 (Mar 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306507:ccn:395751

  View official CMS source

• F0814 — Nutrition and Dietary Deficiencies

  Dispose of garbage and refuse properly.

  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 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306503:ccn:395751

  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 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 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306508:ccn:395751

  View official CMS source

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

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

• F0554 — Resident Rights Deficiencies

  Allow residents to self-administer drugs if determined clinically appropriate.

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306517:ccn:395751

  View official CMS source

• F0558 — Resident Rights Deficiencies

  Reasonably accommodate the needs and preferences of 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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306528:ccn:395751

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306529:ccn:395751

  View official CMS source

• F0575 — Resident Rights Deficiencies

  Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

  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 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306530:ccn:395751

  View official CMS source

• F0605 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306519:ccn:395751

  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 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 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306531:ccn:395751

  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 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306532:ccn:395751

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306533:ccn:395751

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306534:ccn:395751

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306535:ccn:395751

  View official CMS source

• F0692 — Quality of Life and Care Deficiencies

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

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306520:ccn:395751

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306521:ccn:395751

  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 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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306522:ccn:395751

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306536:ccn:395751

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306524:ccn:395751

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306537:ccn:395751

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306538:ccn:395751

  View official CMS source

• F0805 — Nutrition and Dietary Deficiencies

  Ensure each resident receives and the facility provides food prepared in a form designed to meet individual 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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306539:ccn:395751

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306525:ccn:395751

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306514:ccn:395751

  View official CMS source

• F0814 — Nutrition and Dietary Deficiencies

  Dispose of garbage and refuse properly.

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306515:ccn:395751

  View official CMS source

• F0881 — Infection Control Deficiencies

  Implement a program that monitors antibiotic use.

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306526:ccn:395751

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306527:ccn:395751

  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 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 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306540:ccn:395751

  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 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 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306541:ccn:395751

  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 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 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306542:ccn:395751

  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 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 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306543:ccn:395751

  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 (Oct 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306544:ccn:395751

  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 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 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306545:ccn:395751

  View official CMS source

• F0946 — Administration Deficiencies

  Provide training in compliance and ethics.

  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 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306546:ccn:395751

  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 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 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306547:ccn:395751

  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 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 30, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306548:ccn:395751

  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 (Sep 3, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306511:ccn:395751

  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 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 3, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306509:ccn:395751

  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 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 3, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306510:ccn:395751

  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 3, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306549:ccn:395751

  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 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 (May 29, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306553:ccn:395751

  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 (May 29, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306554:ccn:395751

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

  Correction status: Deficient, Provider has date of correction (May 29, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306551:ccn:395751

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

  Correction status: Deficient, Provider has date of correction (May 29, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306550:ccn:395751

  View official CMS source

• F0760 — Pharmacy Service Deficiencies

  Ensure that residents are free from significant medication errors.

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

  Correction status: Deficient, Provider has date of correction (May 29, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306552:ccn:395751

  View official CMS source

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

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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306582:ccn:395751

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306590:ccn:395751

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306591:ccn:395751

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306592:ccn:395751

  View official CMS source

• F0679 — Quality of Life and Care Deficiencies

  Provide activities to meet all resident's needs.

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306583:ccn:395751

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306593:ccn:395751

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306594:ccn:395751

  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 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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306584:ccn:395751

  View official CMS source

• F0692 — Quality of Life and Care Deficiencies

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

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306585:ccn:395751

  View official CMS source

• F0694 — Quality of Life and Care Deficiencies

  Provide for the safe, appropriate administration of IV fluids 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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306595:ccn:395751

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306586:ccn:395751

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306596:ccn:395751

  View official CMS source

• F0744 — Quality of Life and Care Deficiencies

  Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306597:ccn:395751

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306598:ccn:395751

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306588:ccn:395751

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306589:ccn:395751

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306599:ccn:395751

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306579:ccn:395751

  View official CMS source

• F0849 — Administration Deficiencies

  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice 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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306600:ccn:395751

  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 (Apr 23, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306580:ccn:395751

  View official CMS source

• F0554 — Resident Rights Deficiencies

  Allow residents to self-administer drugs if determined clinically appropriate.

  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 (Apr 2, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306555:ccn:395751

  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 (Apr 2, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306556:ccn:395751

  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 (Apr 2, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306557:ccn:395751

  View official CMS source

• F0760 — Pharmacy Service Deficiencies

  Ensure that residents are free from significant medication errors.

  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 (Apr 2, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306558:ccn:395751

  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 (Apr 2, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306559:ccn:395751

  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 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 15, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306560:ccn:395751

  View official CMS source

• F0865 — Administration Deficiencies

  Have a plan that describes the process for conducting QAPI and QAA activities.

  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 15, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306561:ccn:395751

  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 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 15, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306562:ccn:395751

  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 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 15, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306563:ccn:395751

  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 (Jan 9, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306564:ccn:395751

  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 (Jan 9, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306566:ccn:395751

  View official CMS source

• F0908 — Environmental Deficiencies

  Keep all essential equipment working 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 (Jan 9, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306565:ccn:395751

  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 (Dec 13, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306567:ccn:395751

  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 (Dec 13, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306568:ccn:395751

  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 (Dec 13, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306569:ccn:395751

  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 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 13, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  395751

  Source record locator

  csv-row:306570:ccn:395751

  View official CMS source