Bradley Estates Nursing and Rehab LLC

• 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 (Jan 28, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361809:ccn:525325

  View official CMS source

• F0584 — Resident Rights Deficiencies

  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

  Correction status: Deficient, Provider has date of correction (Jan 28, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361808:ccn:525325

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

  Correction status: Deficient, Provider has date of correction (Jan 28, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361810:ccn:525325

  View official CMS source

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

  Respond appropriately to all alleged violations.

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

  Correction status: Deficient, Provider has date of correction (Jan 28, 2026)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361811:ccn:525325

  View official CMS source

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

• F0551 — Resident Rights Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Oct 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361816:ccn:525325

  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 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 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361817:ccn:525325

  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 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 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361818:ccn:525325

  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 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 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361819:ccn:525325

  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 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361812:ccn:525325

  View official CMS source

• F0640 — Resident Assessment and Care Planning Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Oct 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361820:ccn:525325

  View official CMS source

• F0641 — Resident Assessment and Care Planning Deficiencies

  Ensure each resident receives an accurate assessment.

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

  Correction status: Deficient, Provider has date of correction (Oct 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361813:ccn:525325

  View official CMS source

• F0644 — Resident Assessment and Care Planning Deficiencies

  Coordinate assessments with the pre-admission screening and resident review program; and referring for services as 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 (Oct 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361821:ccn:525325

  View official CMS source

• F0645 — Resident Assessment and Care Planning Deficiencies

  PASARR screening for Mental disorders or Intellectual Disabilities

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

  Correction status: Deficient, Provider has date of correction (Oct 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361822:ccn:525325

  View official CMS source

• F0677 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Oct 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361823:ccn:525325

  View official CMS source

• F0686 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Oct 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361824:ccn:525325

  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 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361825:ccn:525325

  View official CMS source

• F0757 — Pharmacy Service Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Oct 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361826:ccn:525325

  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 (Oct 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361814:ccn:525325

  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 (Oct 16, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361815:ccn:525325

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

  Correction status: Deficient, Provider has date of correction (Sep 14, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361827:ccn:525325

  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 (Sep 14, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361828:ccn:525325

  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 (Sep 14, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361829:ccn:525325

  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 (Aug 8, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361830:ccn:525325

  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 (Aug 8, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361831:ccn:525325

  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 (Aug 8, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361832:ccn:525325

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

  Correction status: Deficient, Provider has date of correction (Jul 4, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361833:ccn:525325

  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 (Jul 4, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361834:ccn:525325

  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 (Jul 4, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361835:ccn:525325

  View official CMS source

• F0880 — Infection Control Deficiencies

  Provide and implement an infection prevention and control program.

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

  Correction status: Deficient, Provider has date of correction (Jul 4, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361836:ccn:525325

  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 10, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361842:ccn:525325

  View official CMS source

• F0677 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Apr 10, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361843:ccn:525325

  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 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 10, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361838:ccn:525325

  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 10, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361839:ccn:525325

  View official CMS source

• F0801 — Nutrition and Dietary Deficiencies

  Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

  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 10, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361837:ccn:525325

  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 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 10, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361840:ccn:525325

  View official CMS source

• F0812 — Nutrition and Dietary Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Apr 10, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361841:ccn:525325

  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 10, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361844:ccn:525325

  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 (Feb 7, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361846:ccn:525325

  View official CMS source

• F0625 — Resident Rights Deficiencies

  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

  Correction status: Deficient, Provider has date of correction (Feb 7, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361847:ccn:525325

  View official CMS source

• F0626 — Resident Rights Deficiencies

  Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

  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 (Feb 7, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361848:ccn:525325

  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 K: Pattern; Immediate jeopardy to resident health or safety.

  Correction status: Deficient, Provider has date of correction (Feb 7, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361845:ccn:525325

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

  Correction status: Deficient, Provider has date of correction (Jan 21, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361851:ccn:525325

  View official CMS source

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

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

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

  Correction status: Deficient, Provider has date of correction (Jan 21, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361850:ccn:525325

  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 (Feb 7, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361852:ccn:525325

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

  Correction status: Deficient, Provider has date of correction (Feb 4, 2025)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361849:ccn:525325

  View official CMS source

• F0622 — Resident Rights Deficiencies

  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

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

  Correction status: Deficient, Provider has date of correction (Oct 29, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361853:ccn:525325

  View official CMS source

• F0685 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Oct 31, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361854:ccn:525325

  View official CMS source

• F0880 — Infection Control Deficiencies

  Provide and implement an infection prevention and control program.

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

  Correction status: Deficient, Provider has date of correction (Nov 19, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361855:ccn:525325

  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 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 14, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361857:ccn:525325

  View official CMS source

• F0580 — Resident Rights Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Oct 14, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361858:ccn:525325

  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 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 17, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361859:ccn:525325

  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 (Oct 14, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361860:ccn:525325

  View official CMS source

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

  Respond appropriately to all alleged violations.

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

  Correction status: Deficient, Provider has date of correction (Oct 14, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361861:ccn:525325

  View official CMS source

• F0657 — Resident Assessment and Care Planning Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Dec 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361862:ccn:525325

  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 (Oct 16, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361863:ccn:525325

  View official CMS source

• F0758 — Pharmacy Service Deficiencies

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

  Correction status: Deficient, Provider has date of correction (Oct 14, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361864:ccn:525325

  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 (Dec 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361856:ccn:525325

  View official CMS source

• F0917 — Environmental Deficiencies

  Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

  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 17, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361865:ccn:525325

  View official CMS source

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

• 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 (Jul 17, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361883:ccn:525325

  View official CMS source

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

  Respond appropriately to all alleged violations.

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

  Correction status: Deficient, Provider has date of correction (Jul 17, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361873:ccn:525325

  View official CMS source

• F0645 — Resident Assessment and Care Planning Deficiencies

  PASARR screening for Mental disorders or Intellectual Disabilities

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

  Correction status: Deficient, Provider has date of correction (Jul 17, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361876:ccn:525325

  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 (Jul 17, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361881:ccn:525325

  View official CMS source

• F0677 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Jul 17, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361882:ccn:525325

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

  Correction status: Deficient, Provider has date of correction (Dec 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361867:ccn:525325

  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 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 17, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361884:ccn:525325

  View official CMS source

• F0757 — Pharmacy Service Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Jul 17, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361885:ccn:525325

  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 (Jul 17, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361886:ccn:525325

  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 (Jul 17, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361868:ccn:525325

  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 (Jul 17, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361869:ccn:525325

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

  Correction status: Deficient, Provider has date of correction (Jul 17, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361870:ccn:525325

  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 (Jul 17, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361871:ccn:525325

  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 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 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361892:ccn:525325

  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 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361893:ccn:525325

  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 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 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361894:ccn:525325

  View official CMS source

• F0661 — Resident Assessment and Care Planning Deficiencies

  Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

  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 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361895:ccn:525325

  View official CMS source

• F0677 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361896:ccn:525325

  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 (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361887:ccn:525325

  View official CMS source

• F0686 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361897:ccn:525325

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

  Correction status: Deficient, Provider has date of correction (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361888:ccn:525325

  View official CMS source

• F0689 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361889:ccn:525325

  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 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361898:ccn:525325

  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 (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361899:ccn:525325

  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 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361900:ccn:525325

  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 (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361901:ccn:525325

  View official CMS source

• F0745 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361902:ccn:525325

  View official CMS source

• F0757 — Pharmacy Service Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361903:ccn:525325

  View official CMS source

• F0758 — Pharmacy Service Deficiencies

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

  Correction status: Deficient, Provider has date of correction (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361904:ccn:525325

  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 (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361890:ccn:525325

  View official CMS source

• F0825 — Quality of Life and Care Deficiencies

  Provide or get specialized rehabilitative services as required for a resident.

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

  Correction status: Deficient, Provider has date of correction (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361905:ccn:525325

  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 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361891:ccn:525325

  View official CMS source

• F0881 — Infection Control Deficiencies

  Implement a program that monitors antibiotic use.

  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 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361906:ccn:525325

  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 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 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361911:ccn:525325

  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 (Feb 9, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361914:ccn:525325

  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 (Feb 9, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361915:ccn:525325

  View official CMS source

• F0677 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361916:ccn:525325

  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 (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361908:ccn:525325

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

  Correction status: Deficient, Provider has date of correction (Apr 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361909:ccn:525325

  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 5, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361907:ccn:525325

  View official CMS source

• F0697 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Feb 9, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361910:ccn:525325

  View official CMS source

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

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

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

  Correction status: Deficient, Provider has date of correction (Feb 9, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361912:ccn:525325

  View official CMS source

• F0947 — Nursing and Physician Services Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Feb 9, 2024)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361913:ccn:525325

  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 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361919:ccn:525325

  View official CMS source

• F0551 — Resident Rights Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361929:ccn:525325

  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 (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361930:ccn:525325

  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 (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361931:ccn:525325

  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 (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361917:ccn:525325

  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 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 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361920:ccn:525325

  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 (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361932:ccn:525325

  View official CMS source

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

  Respond appropriately to all alleged violations.

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

  Correction status: Deficient, Provider has date of correction (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361933:ccn:525325

  View official CMS source

• F0625 — Resident Rights Deficiencies

  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

  Correction status: Deficient, Provider has date of correction (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361934:ccn:525325

  View official CMS source

• F0656 — Resident Assessment and Care Planning Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361935:ccn:525325

  View official CMS source

• F0657 — Resident Assessment and Care Planning Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361936:ccn:525325

  View official CMS source

• F0677 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361937:ccn:525325

  View official CMS source

• F0684 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361921:ccn:525325

  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 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 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361922:ccn:525325

  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 (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361923:ccn:525325

  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 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 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361938:ccn:525325

  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 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 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361924:ccn:525325

  View official CMS source

• F0759 — Pharmacy Service Deficiencies

  Ensure medication error rates are not 5 percent or greater.

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

  Correction status: Deficient, Provider has date of correction (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361939:ccn:525325

  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 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 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361925:ccn:525325

  View official CMS source

• F0804 — Nutrition and Dietary Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361926:ccn:525325

  View official CMS source

• F0807 — Nutrition and Dietary Deficiencies

  Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

  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 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361927:ccn:525325

  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 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 (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361918:ccn:525325

  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 (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361928:ccn:525325

  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 (Dec 1, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361940:ccn:525325

  View official CMS source

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

• F0550 — Resident Rights Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361949:ccn:525325

  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 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 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361950:ccn:525325

  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 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 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361951:ccn:525325

  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 (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361952:ccn:525325

  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 (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361953:ccn:525325

  View official CMS source

• F0623 — Resident Rights Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361943:ccn:525325

  View official CMS source

• F0625 — Resident Rights Deficiencies

  Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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

  Correction status: Deficient, Provider has date of correction (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361944:ccn:525325

  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 (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361945:ccn:525325

  View official CMS source

• F0677 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361954:ccn:525325

  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 (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361955:ccn:525325

  View official CMS source

• F0686 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361956:ccn:525325

  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 (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361957:ccn:525325

  View official CMS source

• F0689 — Quality of Life and Care Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361941:ccn:525325

  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 (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361946:ccn:525325

  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 (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361958:ccn:525325

  View official CMS source

• F0758 — Pharmacy Service Deficiencies

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

  Correction status: Deficient, Provider has date of correction (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361959:ccn:525325

  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 (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361947:ccn:525325

  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, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361942:ccn:525325

  View official CMS source

• F0842 — Resident Assessment and Care Planning Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361960:ccn:525325

  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 (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361961:ccn:525325

  View official CMS source

• F0880 — Infection Control Deficiencies

  Provide and implement an infection prevention and control program.

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

  Correction status: Deficient, Provider has date of correction (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361948:ccn:525325

  View official CMS source

• F0883 — Infection Control Deficiencies

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

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

  Correction status: Deficient, Provider has date of correction (May 19, 2023)

  View source details

  Dataset

  Health Deficiencies

  CMS dataset ID

  r5ix-sfxw

  CMS source updated

  Jul 1, 2026

  CMS provider ID

  525325

  Source record locator

  csv-row:361962:ccn:525325

  View official CMS source