CENTRO DE CUIDADO PROLONGADO SAN LUCAS

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

• F0582 — Resident Rights Deficiencies

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

  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 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312988:ccn:405033

  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 (Jun 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312984:ccn:405033

  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 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 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312985:ccn:405033

  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 (Jun 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312986:ccn:405033

  View official CMS source

• F0657 — Resident Assessment and Care Planning Deficiencies

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

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

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312987:ccn:405033

  View official CMS source

• F0711 — Nursing and Physician Services Deficiencies

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

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

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312989:ccn:405033

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

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312992:ccn:405033

  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 (Jun 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312990:ccn:405033

  View official CMS source

• F0802 — Nutrition and Dietary Deficiencies

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

  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 (Jun 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312981:ccn:405033

  View official CMS source

• F0803 — Nutrition and Dietary Deficiencies

  Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312991:ccn:405033

  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 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 (Jun 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312982:ccn:405033

  View official CMS source

• F0868 — Administration Deficiencies

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

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

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

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312993:ccn:405033

  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 (Jun 9, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312983:ccn:405033

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

  Correction status: Deficient, Provider has date of correction (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312994:ccn:405033

  View official CMS source

• F0551 — Resident Rights Deficiencies

  Give the resident's representative the ability to exercise the resident's rights.

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

  Correction status: Deficient, Provider has date of correction (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312998:ccn:405033

  View official CMS source

• F0552 — Resident Rights Deficiencies

  Ensure that residents are fully informed and understand their health status, care and treatments.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312999:ccn:405033

  View official CMS source

• F0553 — Resident Rights Deficiencies

  Allow resident to participate in the development and implementation of his or her person-centered plan of care.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313000:ccn:405033

  View official CMS source

• F0554 — Resident Rights Deficiencies

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

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313001:ccn:405033

  View official CMS source

• F0555 — Resident Rights Deficiencies

  Honor the resident's right to choose his or her attending physician.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313002:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313003:ccn:405033

  View official CMS source

• F0558 — Resident Rights Deficiencies

  Reasonably accommodate the needs and preferences of each 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 (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313004:ccn:405033

  View official CMS source

• F0559 — Resident Rights Deficiencies

  Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

  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 2, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313005:ccn:405033

  View official CMS source

• F0560 — Resident Rights Deficiencies

  Protect a residents' right to refuse some types of non-requested transfers within the nursing home.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313006:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313007:ccn:405033

  View official CMS source

• F0562 — Resident Rights Deficiencies

  Provide immediate access to any 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 (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313008:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313009:ccn:405033

  View official CMS source

• F0564 — Resident Rights Deficiencies

  Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313010:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313011:ccn:405033

  View official CMS source

• F0566 — Resident Rights Deficiencies

  1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313012:ccn:405033

  View official CMS source

• F0567 — Resident Rights Deficiencies

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

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313013:ccn:405033

  View official CMS source

• F0568 — Resident Rights Deficiencies

  Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313014:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313015:ccn:405033

  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 (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313016:ccn:405033

  View official CMS source

• F0571 — Resident Rights Deficiencies

  Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313017:ccn:405033

  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 (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313018:ccn:405033

  View official CMS source

• F0573 — Resident Rights Deficiencies

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

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313019:ccn:405033

  View official CMS source

• F0574 — Resident Rights Deficiencies

  The resident has the right to receive notices in a format and a language he or she understands.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313020:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313021:ccn:405033

  View official CMS source

• F0576 — Resident Rights Deficiencies

  Ensure residents have reasonable access to and privacy in their use of communication methods.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313022:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313023:ccn:405033

  View official CMS source

• F0578 — Resident Rights Deficiencies

  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313024:ccn:405033

  View official CMS source

• F0579 — Resident Rights Deficiencies

  Provide information about how to apply for and use Medicare and Medicaid benefits.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313025:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313026:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313027:ccn:405033

  View official CMS source

• F0583 — Resident Rights Deficiencies

  Keep residents' personal and medical records private and confidential.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313028:ccn:405033

  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 (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313029:ccn:405033

  View official CMS source

• F0585 — Resident Rights Deficiencies

  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313030:ccn:405033

  View official CMS source

• F0586 — Resident Rights Deficiencies

  Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313031:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313032:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313033:ccn:405033

  View official CMS source

• F0603 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

  Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313034:ccn:405033

  View official CMS source

• F0604 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313035:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313036:ccn:405033

  View official CMS source

• F0606 — Freedom from Abuse, Neglect, and Exploitation Deficiencies

  Not hire anyone with a finding of abuse, neglect, exploitation, or 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 (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313037:ccn:405033

  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 (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313038:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313039:ccn:405033

  View official CMS source

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

  Respond appropriately to all alleged violations.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313040:ccn:405033

  View official CMS source

• F0640 — Resident Assessment and Care Planning Deficiencies

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

  CMS scope/severity 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313041:ccn:405033

  View official CMS source

• F0655 — Resident Assessment and Care Planning Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313042:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313043:ccn:405033

  View official CMS source

• F0691 — Quality of Life and Care Deficiencies

  Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313044:ccn:405033

  View official CMS source

• F0696 — Quality of Life and Care Deficiencies

  Provide appropriate care/assistance for a resident with a prosthesis.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313045:ccn:405033

  View official CMS source

• F0699 — Quality of Life and Care Deficiencies

  Provide care or services that was trauma informed and/or culturally competent.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313046:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313047:ccn:405033

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

  Correction status: Deficient, Provider has date of correction (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312995:ccn:405033

  View official CMS source

• F0740 — Quality of Life and Care Deficiencies

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

  CMS scope/severity 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313048:ccn:405033

  View official CMS source

• F0741 — Quality of Life and Care Deficiencies

  Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313049:ccn:405033

  View official CMS source

• F0770 — Administration Deficiencies

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

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313050:ccn:405033

  View official CMS source

• F0771 — Administration Deficiencies

  Ensure laboratory services, blood blanks and transfusion services provided on-site meet requirements for certified laboratories.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313051:ccn:405033

  View official CMS source

• F0776 — Administration Deficiencies

  Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313052:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313053:ccn:405033

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313054:ccn:405033

  View official CMS source

• F0813 — Nutrition and Dietary Deficiencies

  Have a policy regarding use and storage of foods brought to residents by family and other visitors.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313055:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313056:ccn:405033

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

  Correction status: Deficient, Provider has date of correction (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312996:ccn:405033

  View official CMS source

• F0837 — Administration Deficiencies

  Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

  CMS scope/severity L: Widespread; Immediate jeopardy to resident health or safety.

  Correction status: Deficient, Provider has date of correction (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:312997:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313057:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313058:ccn:405033

  View official CMS source

• F0868 — Administration Deficiencies

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

  CMS scope/severity 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313059:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313060:ccn:405033

  View official CMS source

• F0895 — Administration Deficiencies

  Have a Compliance and Ethics 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 (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313061:ccn:405033

  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 (Oct 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313062:ccn:405033

  View official CMS source

• F0924 — Environmental Deficiencies

  Put firmly secured handrails on each side of hallways.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313063:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313064:ccn:405033

  View official CMS source

• F0946 — Administration Deficiencies

  Provide training in compliance and ethics.

  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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313065:ccn:405033

  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 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 22, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  405033

  Source record locator

  csv-row:313066:ccn:405033

  View official CMS source