F
F-568
no actual harm; potential for more than minimal harm · widespread
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected May 6, 2022
D
F-569
no actual harm; potential for more than minimal harm · isolated
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected May 6, 2022
D
F-578
no actual harm; potential for more than minimal harm · isolated
Residents' rights to refuse treatment or set advance directives weren't honored.
CMS requirement: 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.
Corrected May 6, 2022
D
F-580
no actual harm; potential for more than minimal harm · isolated
The home didn't promptly tell the resident, their doctor, or family about an injury, decline, or other significant change.
CMS requirement: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 6, 2022
D
F-607
no actual harm; potential for more than minimal harm · isolated
The home's written policies to prevent abuse, neglect, and theft were missing or not followed.
CMS requirement: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 6, 2022
D
F-609
no actual harm; potential for more than minimal harm · isolated
Suspected abuse, neglect, or theft wasn't reported to authorities on time.
CMS requirement: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 6, 2022
D
F-622
no actual harm; potential for more than minimal harm · isolated
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.
Corrected May 6, 2022
D
F-641
no actual harm; potential for more than minimal harm · isolated
Resident health assessments were inaccurate.
CMS requirement: Ensure each resident receives an accurate assessment.
Corrected May 6, 2022
D
F-655
no actual harm; potential for more than minimal harm · isolated
No baseline care plan covering immediate needs within 48 hours of admission.
CMS requirement: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected May 6, 2022
D
F-684
no actual harm; potential for more than minimal harm · isolated
Residents didn't get treatment or care the way their doctors ordered or their care goals called for.
CMS requirement: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 6, 2022
D
F-689
no actual harm; potential for more than minimal harm · isolated
Inspectors found accident hazards, or residents weren't supervised closely enough to prevent falls and injuries.
CMS requirement: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Dec 8, 2021
D
F-711
no actual harm; potential for more than minimal harm · isolated
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
Corrected May 6, 2022
D
F-761
no actual harm; potential for more than minimal harm · isolated
Medications weren't labeled or locked up the way pharmacy rules require.
CMS requirement: 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.
Corrected May 6, 2022
E
F-812
no actual harm; potential for more than minimal harm · pattern
Problems with safe food handling — storage temperatures, kitchen sanitation, or food from unapproved sources.
CMS requirement: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 6, 2022
D
F-842
no actual harm; potential for more than minimal harm · isolated
Medical records were incomplete, inaccurate, or not kept confidential.
CMS requirement: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 6, 2022
E
F-880
no actual harm; potential for more than minimal harm · pattern
The home didn't follow infection prevention and control rules — things like hand hygiene, isolation precautions, or tracking infections.
CMS requirement: Provide and implement an infection prevention and control program.
Corrected May 6, 2022
E
F-908
no actual harm; potential for more than minimal harm · pattern
Essential equipment wasn't kept in safe working order.
CMS requirement: Keep all essential equipment working safely.
Corrected May 6, 2022