Deficiency timeline

ADVANCED REHAB CENTER OF TUSTIN

Dated inspection findings, penalties, and correction notes for this nursing home in Santa Ana, CA. Newest events first.

124 eventsTimeline fines $37,182Class insights →
  1. Class IIIPotential for more than minimal harm (E)cms

    F0578: Resident Rights

    Resident rights

    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 Jun 7, 2026

  2. Class IIIPotential for more than minimal harm (E)cms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Jun 7, 2026

  3. Class IIIPotential for more than minimal harm (E)cms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Jun 7, 2026

  4. Class IIIPotential for more than minimal harm (E)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Jun 7, 2026

  5. Class IIIPotential for more than minimal harm (E)cms

    F0761: Pharmacy Service

    Pharmacy services

    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 Jun 7, 2026

  6. Class IIIPotential for more than minimal harm (E)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Jun 7, 2026

  7. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Jun 7, 2026

  8. Class IIIPotential for more than minimal harm (E)cms

    F0881: Infection Control

    Infection control

    Implement a program that monitors antibiotic use.

    Corrected Jun 7, 2026

  9. Class IIIPotential for more than minimal harm (E)cms

    F0887: Infection Control

    Infection control

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

    Corrected Jun 7, 2026

  10. Class IIIPotential for more than minimal harm (D)cms

    F0550: Resident Rights

    Resident rights

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

    Corrected Jun 7, 2026

  11. Class IIIPotential for more than minimal harm (D)cms

    F0552: Resident Rights

    Resident rights

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

    Corrected Jun 7, 2026

  12. Class IIIPotential for more than minimal harm (D)cms

    F0554: Resident Rights

    Resident rights

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

    Corrected Jun 7, 2026

  13. Class IIIPotential for more than minimal harm (D)cms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Jun 7, 2026

  14. Class IIIPotential for more than minimal harm (D)cms

    F0580: Resident Rights

    Resident rights

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

    Corrected Jun 7, 2026

  15. Class IIIPotential for more than minimal harm (D)cms

    F0605: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

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

    Corrected Jun 7, 2026

  16. Class IIIPotential for more than minimal harm (D)cms

    F0645: Resident Assessment and Care Planning

    Assessment & care planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected Jun 7, 2026

  17. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Jun 7, 2026

  18. Class IIIPotential for more than minimal harm (D)cms

    F0685: Quality of Life and Care

    Quality of life & care

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

    Corrected Jun 7, 2026

  19. Class IIIPotential for more than minimal harm (D)cms

    F0694: Quality of Life and Care

    Quality of life & care

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected Jun 7, 2026

  20. Class IIIPotential for more than minimal harm (D)cms

    F0697: Quality of Life and Care

    Quality of life & care

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

    Corrected Jun 7, 2026

  21. Class IIIPotential for more than minimal harm (D)cms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Jun 7, 2026

  22. Class IIIPotential for more than minimal harm (D)cms

    F0756: Pharmacy Service

    Pharmacy services

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected Jun 7, 2026

  23. Class IIIPotential for more than minimal harm (D)cms

    F0757: Pharmacy Service

    Pharmacy services

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

    Corrected Jun 7, 2026

  24. Class IIIPotential for more than minimal harm (D)cms

    F0770: Administration

    Administration

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

    Corrected Jun 7, 2026

  25. Class IIIPotential for more than minimal harm (D)cms

    F0803: Nutrition and Dietary

    Nutrition & dietary

    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.

    Corrected Jun 7, 2026

  26. Class IIIPotential for more than minimal harm (D)cms

    F0805: Nutrition and Dietary

    Nutrition & dietary

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected Jun 7, 2026

  27. Class IIIPotential for more than minimal harm (D)cms

    F0806: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Jun 7, 2026

  28. Class IIIPotential for more than minimal harm (D)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Jun 7, 2026

  29. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0838: Administration

    Administration

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Corrected Jun 7, 2026

  30. Class IIIPotential for more than minimal harm (D)cms

    F0921: Environmental

    Environment

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected Jun 7, 2026

  31. Class IVMinimal harm / potential for minimal harm (B)cms

    F0583: Resident Rights

    Resident rights

    Keep residents' personal and medical records private and confidential.

    Corrected Jun 7, 2026

  32. Class IVMinimal harm / potential for minimal harm (B)cms

    F0636: Resident Assessment and Care Planning

    Assessment & care planning

    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

    Corrected Jun 7, 2026

  33. Class IVMinimal harm / potential for minimal harm (B)Complaint-relatedcms

    F0730: Nursing and Physician Services

    Nursing & physician services

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

    Corrected Jun 7, 2026

  34. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Dec 13, 2025

  35. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Dec 13, 2025

  36. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Sep 4, 2025

  37. Class IVMinimal harm / potential for minimal harm (B)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Sep 4, 2025

  38. Class IVMinimal harm / potential for minimal harm (B)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Sep 4, 2025

  39. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Aug 8, 2025

  40. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0757: Pharmacy Service

    Pharmacy services

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

    Corrected Aug 8, 2025

  41. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 16, 2025

  42. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0660: Resident Assessment and Care Planning

    Assessment & care planning

    Plan the resident's discharge to meet the resident's goals and needs.

    Corrected May 16, 2025

  43. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Apr 24, 2025

  44. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Apr 24, 2025

  45. Class IIIPotential for more than minimal harm (D)cms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 24, 2025

  46. Class IIIPotential for more than minimal harm (D)cms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 24, 2025

  47. Class IIIPotential for more than minimal harm (D)cms

    F0694: Quality of Life and Care

    Quality of life & care

    Provide for the safe, appropriate administration of IV fluids for a resident when needed.

    Corrected Apr 24, 2025

  48. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Apr 24, 2025

  49. Class IIIPotential for more than minimal harm (D)cms

    F0697: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 24, 2025

  50. Class IIIPotential for more than minimal harm (D)cms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Apr 24, 2025

  51. Class IIIPotential for more than minimal harm (D)cms

    F0758: Pharmacy Service

    Pharmacy services

    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.

    Corrected Apr 24, 2025

  52. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    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 Apr 24, 2025

  53. Class IIIPotential for more than minimal harm (D)cms

    F0803: Nutrition and Dietary

    Nutrition & dietary

    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.

    Corrected Apr 24, 2025

  54. Class IIIPotential for more than minimal harm (D)cms

    F0804: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Apr 24, 2025

  55. Class IIIPotential for more than minimal harm (D)cms

    F0805: Nutrition and Dietary

    Nutrition & dietary

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected Apr 24, 2025

  56. Class IIIPotential for more than minimal harm (D)cms

    F0813: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Apr 24, 2025

  57. Class IIIPotential for more than minimal harm (D)cms

    F0838: Administration

    Administration

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Corrected Apr 24, 2025

  58. Class IIIPotential for more than minimal harm (D)cms

    F0881: Infection Control

    Infection control

    Implement a program that monitors antibiotic use.

    Corrected Apr 24, 2025

  59. Class IVMinimal harm / potential for minimal harm (B)cms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Apr 24, 2025

  60. Class IVMinimal harm / potential for minimal harm (B)cms

    F0582: Resident Rights

    Resident rights

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

    Corrected Apr 24, 2025

  61. Class IVMinimal harm / potential for minimal harm (B)cms

    F0640: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Apr 24, 2025

  62. Class IVMinimal harm / potential for minimal harm (B)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Apr 24, 2025

  63. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0622: Resident Rights

    Resident rights

    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 Mar 10, 2025

  64. Class IVMinimal harm / potential for minimal harm (B)Complaint-relatedcms

    F0576: Resident Rights

    Resident rights

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

    Corrected Feb 24, 2025

  65. Class IVMinimal harm / potential for minimal harm (B)Complaint-relatedcms

    F0625: Resident Rights

    Resident rights

    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.

    Corrected Jan 31, 2025

  66. Class IVMinimal harm / potential for minimal harm (B)Complaint-relatedcms

    F0623: Resident Rights

    Resident rights

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

    Corrected Jan 31, 2025

  67. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Dec 6, 2024

  68. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 10, 2024

  69. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Oct 10, 2024

  70. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 10, 2024

  71. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0697: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 10, 2024

  72. Class IIActual harm (G)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Oct 10, 2024

  73. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 10, 2024

  74. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Sep 23, 2024

  75. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Aug 31, 2024

  76. Class IVMinimal harm / potential for minimal harm (B)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Aug 28, 2024

  77. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected Aug 30, 2024

  78. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0758: Pharmacy Service

    Pharmacy services

    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.

    Corrected Aug 30, 2024

  79. Fine $37,182cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  80. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0580: Resident Rights

    Resident rights

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

    Corrected Aug 6, 2024

  81. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected Aug 6, 2024

  82. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Aug 6, 2024

  83. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Aug 6, 2024

  84. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Aug 6, 2024

  85. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Aug 6, 2024

  86. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Aug 6, 2024

  87. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Aug 6, 2024

  88. Class IVMinimal harm / potential for minimal harm (B)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Aug 6, 2024

  89. Class IVMinimal harm / potential for minimal harm (B)Complaint-relatedcms

    F0761: Pharmacy Service

    Pharmacy services

    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 Aug 6, 2024

  90. Class IVMinimal harm / potential for minimal harm (B)Complaint-relatedcms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected May 1, 2024

  91. Class IVMinimal harm / potential for minimal harm (B)Complaint-relatedcms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected May 1, 2024

  92. Class IVMinimal harm / potential for minimal harm (B)Complaint-relatedcms

    F0584: Resident Rights

    Resident rights

    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.

    Corrected Apr 16, 2024

  93. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0600: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected Feb 17, 2024

  94. Class IVMinimal harm / potential for minimal harm (B)cms

    F0814: Nutrition and Dietary

    Nutrition & dietary

    Dispose of garbage and refuse properly.

    Corrected Dec 9, 2023

  95. Class IIIPotential for more than minimal harm (D)cms

    F0881: Infection Control

    Infection control

    Implement a program that monitors antibiotic use.

    Corrected Dec 9, 2023

  96. Class IIActual harm (G)cms

    F0692: Quality of Life and Care

    Quality of life & care

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

    Corrected Dec 9, 2023

  97. Class IIIPotential for more than minimal harm (E)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Dec 9, 2023

  98. Class IIIPotential for more than minimal harm (E)Complaint-relatedcms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Dec 9, 2023

  99. Class IIIPotential for more than minimal harm (D)cms

    F0558: Resident Rights

    Resident rights

    Reasonably accommodate the needs and preferences of each resident.

    Corrected Dec 9, 2023

  100. Class IIIPotential for more than minimal harm (D)cms

    F0580: Resident Rights

    Resident rights

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

    Corrected Dec 9, 2023

  101. Class IIIPotential for more than minimal harm (D)cms

    F0604: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

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

    Corrected Dec 9, 2023

  102. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Dec 9, 2023

  103. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Dec 9, 2023

  104. Class IIIPotential for more than minimal harm (D)cms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Dec 9, 2023

  105. Class IIIPotential for more than minimal harm (D)cms

    F0693: Quality of Life and Care

    Quality of life & care

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected Dec 9, 2023

  106. Class IIIPotential for more than minimal harm (D)cms

    F0695: Quality of Life and Care

    Quality of life & care

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected Dec 9, 2023

  107. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0698: Quality of Life and Care

    Quality of life & care

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected Jan 20, 2024

  108. Class IIIPotential for more than minimal harm (D)cms

    F0700: Quality of Life and Care

    Quality of life & care

    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.

    Corrected Dec 9, 2023

  109. Class IIIPotential for more than minimal harm (D)cms

    F0744: Quality of Life and Care

    Quality of life & care

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

    Corrected Dec 9, 2023

  110. Class IIIPotential for more than minimal harm (D)cms

    F0755: Pharmacy Service

    Pharmacy services

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected Dec 9, 2023

  111. Class IIIPotential for more than minimal harm (D)cms

    F0757: Pharmacy Service

    Pharmacy services

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

    Corrected Dec 9, 2023

  112. Class IIIPotential for more than minimal harm (D)cms

    F0758: Pharmacy Service

    Pharmacy services

    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.

    Corrected Dec 9, 2023

  113. Class IIIPotential for more than minimal harm (D)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Dec 9, 2023

  114. Class IIIPotential for more than minimal harm (D)cms

    F0761: Pharmacy Service

    Pharmacy services

    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 Dec 9, 2023

  115. Class IIIPotential for more than minimal harm (D)cms

    F0802: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Dec 9, 2023

  116. Class IIIPotential for more than minimal harm (D)cms

    F0806: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Dec 9, 2023

  117. Class IIIPotential for more than minimal harm (D)cms

    F0813: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Dec 9, 2023

  118. Class IIIPotential for more than minimal harm (D)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Dec 9, 2023

  119. Class IIIPotential for more than minimal harm (D)cms

    F0847: Administration

    Administration

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

    Corrected Dec 9, 2023

  120. Class IIIPotential for more than minimal harm (D)cms

    F0883: Infection Control

    Infection control

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

    Corrected Dec 9, 2023

  121. Class IIIPotential for more than minimal harm (D)cms

    F0909: Environmental

    Environment

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Corrected Dec 9, 2023

  122. Class IVMinimal harm / potential for minimal harm (B)Complaint-relatedcms

    F0583: Resident Rights

    Resident rights

    Keep residents' personal and medical records private and confidential.

    Corrected Dec 9, 2023

  123. Class IVMinimal harm / potential for minimal harm (B)Complaint-relatedcms

    F0584: Resident Rights

    Resident rights

    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.

    Corrected Dec 9, 2023

  124. Class IVMinimal harm / potential for minimal harm (B)cms

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Dec 9, 2023

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile