Deficiency timeline
ASHLAND NURSING AND REHABILITATION
Dated inspection findings, penalties, and correction notes for this nursing home in Ashland, VA. Newest events first.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0607: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Apr 29, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0941: Administration
Administration
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0942: Resident Rights
Resident rights
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0944: Administration
Administration
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- Fine $8,140cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0949: Administration
Administration
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- Class IVMinimal harm / potential for minimal harm (C)Complaint-relatedcms
F0732: Nursing and Physician Services
Nursing & physician services
Post nurse staffing information every day.
- Class IImmediate jeopardy (J)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 Apr 29, 2026
- Class IImmediate jeopardy (J)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.
- Class IIIPotential for more than minimal harm (F)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.
- Class IIIPotential for more than minimal harm (E)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 29, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0554: Resident Rights
Resident rights
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Apr 29, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0553: Resident Rights
Resident rights
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0557: Resident Rights
Resident rights
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)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 Nov 17, 2025
- 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 Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0628: Resident Rights
Resident rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0687: Quality of Life and Care
Quality of life & care
Provide appropriate foot care.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0725: Nursing and Physician Services
Nursing & physician services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0730: Nursing and Physician Services
Nursing & physician services
Observe each nurse aide's job performance and give regular training.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0745: Quality of Life and Care
Quality of life & care
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected Nov 17, 2025
- 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 Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0849: Administration
Administration
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.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0941: Administration
Administration
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0942: Resident Rights
Resident rights
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0943: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0944: Administration
Administration
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0945: Infection Control
Infection control
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0946: Administration
Administration
Provide training in compliance and ethics.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0947: Nursing and Physician Services
Nursing & physician services
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0949: Administration
Administration
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0565: Resident Rights
Resident rights
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0680: Quality of Life and Care
Quality of life & care
Ensure the activities program is directed by a qualified professional.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (F)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 Nov 17, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0840: Administration
Administration
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0868: Administration
Administration
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected Nov 17, 2025
- 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 Nov 17, 2025
- Class IIIPotential for more than minimal harm (E)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 Nov 17, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0607: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (E)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 Nov 17, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0679: Quality of Life and Care
Quality of life & care
Provide activities to meet all resident's needs.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (E)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 Nov 17, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
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 Nov 17, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0809: Nutrition and Dietary
Nutrition & dietary
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.
Corrected Nov 17, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0770: Administration
Administration
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected May 7, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0730: Nursing and Physician Services
Nursing & physician services
Observe each nurse aide's job performance and give regular training.
Corrected May 7, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
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 May 7, 2024
- 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 May 7, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 7, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
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 May 7, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0690: Quality of Life and Care
Quality of life & care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 7, 2024
- Class IIIPotential for more than minimal harm (E)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 May 7, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0883: Infection Control
Infection control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected Apr 11, 2024
- 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 Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0925: Environmental
Environment
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0941: Administration
Administration
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0942: Resident Rights
Resident rights
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0944: Administration
Administration
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0946: Administration
Administration
Provide training in compliance and ethics.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0949: Administration
Administration
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
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 Apr 11, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0680: Quality of Life and Care
Quality of life & care
Ensure the activities program is directed by a qualified professional.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
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 Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)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 Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0610: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Respond appropriately to all alleged violations.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)cms
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 Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)cms
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 Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0655: Resident Assessment and Care Planning
Assessment & care planning
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)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 Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 7, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0679: Quality of Life and Care
Quality of life & care
Provide activities to meet all resident's needs.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)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 Apr 11, 2024
- 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 May 7, 2024
- Class IIIPotential for more than minimal harm (E)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 11, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0725: Nursing and Physician Services
Nursing & physician services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0726: Nursing and Physician Services
Nursing & physician services
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0727: Nursing and Physician Services
Nursing & physician services
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0730: Nursing and Physician Services
Nursing & physician services
Observe each nurse aide's job performance and give regular training.
Corrected May 7, 2024
- Class IIIPotential for more than minimal harm (E)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 Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0809: Nutrition and Dietary
Nutrition & dietary
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.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
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 May 7, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0843: Administration
Administration
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0940: Administration
Administration
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0943: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0947: Nursing and Physician Services
Nursing & physician services
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected Apr 11, 2024
- 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 Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0559: Resident Rights
Resident rights
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0583: Resident Rights
Resident rights
Keep residents' personal and medical records private and confidential.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)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 11, 2024
- 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 Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0607: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
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 Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
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 Apr 11, 2024
- 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 Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0675: Quality of Life and Care
Quality of life & care
Honor each resident's preferences, choices, values and beliefs.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0676: Quality of Life and Care
Quality of life & care
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected Apr 11, 2024
- 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 May 7, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0687: Quality of Life and Care
Quality of life & care
Provide appropriate foot care.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0688: Quality of Life and Care
Quality of life & care
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.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0690: Quality of Life and Care
Quality of life & care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected May 7, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0698: Quality of Life and Care
Quality of life & care
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0699: Quality of Life and Care
Quality of life & care
Provide care or services that was trauma informed and/or culturally competent.
Corrected Apr 11, 2024
- 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 May 7, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0712: Nursing and Physician Services
Nursing & physician services
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0740: Quality of Life and Care
Quality of life & care
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0745: Quality of Life and Care
Quality of life & care
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected Apr 11, 2024
- 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 Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0776: Administration
Administration
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected Apr 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0791: Quality of Life and Care
Quality of life & care
Provide or obtain dental services for each resident.
Corrected Apr 11, 2024
- 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 11, 2024
- 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 11, 2024
- Class IIIPotential for more than minimal harm (D)cms
F0810: Nutrition and Dietary
Nutrition & dietary
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
Corrected Apr 11, 2024
- 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 Dec 19, 2023
- 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 Dec 19, 2023
- 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 Dec 19, 2023
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0760: Pharmacy Service
Pharmacy services
Ensure that residents are free from significant medication errors.
Corrected Oct 17, 2023
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0800: Nutrition and Dietary
Nutrition & dietary
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected Oct 17, 2023
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Oct 17, 2023
- 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 Oct 17, 2023
- 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 Oct 17, 2023
- 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 Oct 17, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Oct 17, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
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 Oct 17, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
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 Oct 17, 2023
- 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 Oct 17, 2023
- Class IIIPotential for more than minimal harm (E)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 17, 2023
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0725: Nursing and Physician Services
Nursing & physician services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Oct 17, 2023
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0727: Nursing and Physician Services
Nursing & physician services
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected Oct 17, 2023
- Class IIIPotential for more than minimal harm (E)cms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Jul 12, 2022
- Class IIIPotential for more than minimal harm (D)cms
F0745: Quality of Life and Care
Quality of life & care
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected Jul 12, 2022
- 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 Jul 12, 2022
- 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 Jul 12, 2022
- Class IIIPotential for more than minimal harm (D)cms
F0840: Administration
Administration
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.
Corrected Jul 12, 2022
- 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 Jul 12, 2022
- Class IIIPotential for more than minimal harm (D)cms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Jul 12, 2022
- 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 Jul 12, 2022
- 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 Jul 12, 2022
- Class IIIPotential for more than minimal harm (D)cms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected Jul 12, 2022
- 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 Jul 12, 2022
- 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 Jul 12, 2022
- Class IIIPotential for more than minimal harm (E)cms
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 Jul 12, 2022
- Class IIIPotential for more than minimal harm (E)cms
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 Mar 10, 2020
- Class IIIPotential for more than minimal harm (E)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 Mar 10, 2020
- Class IIIPotential for more than minimal harm (E)cms
F0677: Quality of Life and Care
Quality of life & care
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected Mar 10, 2020
- 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 Mar 10, 2020
- Class IIIPotential for more than minimal harm (E)cms
F0757: Pharmacy Service
Pharmacy services
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Mar 10, 2020
- Class IIIPotential for more than minimal harm (E)cms
F0760: Pharmacy Service
Pharmacy services
Ensure that residents are free from significant medication errors.
Corrected Mar 10, 2020
- 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 Mar 10, 2020
- 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 Mar 10, 2020
- Class IIIPotential for more than minimal harm (D)cms
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 Mar 10, 2020
- Class IIIPotential for more than minimal harm (D)cms
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, 2020
- Class IIIPotential for more than minimal harm (D)cms
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 Mar 10, 2020
- Class IIIPotential for more than minimal harm (D)cms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected Mar 10, 2020
- 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 Mar 10, 2020
- Class IIIPotential for more than minimal harm (D)cms
F0690: Quality of Life and Care
Quality of life & care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected Mar 10, 2020
- 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 Mar 10, 2020
- 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 Mar 10, 2020
- Class IIIPotential for more than minimal harm (D)cms
F0836: Administration
Administration
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected Apr 18, 2019
- 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 Mar 10, 2020
- Class IIIPotential for more than minimal harm (D)cms
F0919: Environmental
Environment
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected Mar 10, 2020
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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