Deficiency timeline

AUTUMN LAKE HEALTHCARE AT GLEN BURNIE

Dated inspection findings, penalties, and correction notes for this nursing home in Glen Burnie, MD. Newest events first.

127 eventsClass insights →
  1. Class IIIPotential for more than minimal harm (E)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.

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

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

  3. 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.

  4. 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.

  5. 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 Apr 11, 2025

  6. Class IIIPotential for more than minimal harm (D)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 Apr 11, 2025

  7. 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 Apr 11, 2025

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

    F0692: Quality of Life and Care

    Quality of life & care

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

    Corrected Apr 11, 2025

  9. 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 11, 2025

  10. 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 11, 2025

  11. Class IIIPotential for more than minimal harm (D)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, 2025

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

    F0790: Quality of Life and Care

    Quality of life & care

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected Apr 11, 2025

  13. 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, 2025

  14. 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 Apr 11, 2025

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

    F0850: Administration

    Administration

    Hire a qualified full-time social worker in a facility with more than 120 beds.

    Corrected Apr 11, 2025

  16. 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 Apr 11, 2025

  17. Class IIIPotential for more than minimal harm (D)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, 2025

  18. 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, 2025

  19. 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, 2025

  20. Class IIIPotential for more than minimal harm (D)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 Apr 11, 2025

  21. 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, 2025

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

    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, 2025

  23. 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 Apr 11, 2025

  24. 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 Apr 11, 2025

  25. 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 Apr 11, 2025

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

    F0679: Quality of Life and Care

    Quality of life & care

    Provide activities to meet all resident's needs.

    Corrected Apr 11, 2025

  27. 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 Apr 11, 2025

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

    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 Apr 11, 2025

  29. 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 Apr 11, 2025

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

    F0868: Administration

    Administration

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

    Corrected Apr 11, 2025

  31. 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 11, 2025

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

    F0941: Administration

    Administration

    Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Corrected Apr 11, 2025

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

    F0946: Administration

    Administration

    Provide training in compliance and ethics.

    Corrected Apr 11, 2025

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

    F0561: Resident Rights

    Resident rights

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected Apr 11, 2025

  35. Class IIIPotential for more than minimal harm (D)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 Apr 11, 2025

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

    F0585: Resident Rights

    Resident rights

    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.

    Corrected Apr 11, 2025

  37. 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 11, 2025

  38. Class IVMinimal harm / potential for minimal harm (C)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 11, 2025

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

    F0573: Resident Rights

    Resident rights

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

    Corrected Sep 29, 2023

  40. 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 Sep 29, 2023

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

    F0583: Resident Rights

    Resident rights

    Keep residents' personal and medical records private and confidential.

    Corrected Sep 29, 2023

  42. 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 Sep 29, 2023

  43. 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 Sep 29, 2023

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

    F0626: Resident Rights

    Resident rights

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

    Corrected Sep 29, 2023

  45. 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 Sep 29, 2023

  46. 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 29, 2023

  47. 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 Sep 29, 2023

  48. 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 Sep 29, 2023

  49. 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 Sep 29, 2023

  50. 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 Sep 29, 2023

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

    F0711: Nursing and Physician Services

    Nursing & physician services

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

    Corrected Sep 29, 2023

  52. 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 Sep 29, 2023

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

    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 Sep 29, 2023

  54. 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 Jan 21, 2020

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

    F0561: Resident Rights

    Resident rights

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected Jan 21, 2020

  56. 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 Jan 21, 2020

  57. 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 Jan 21, 2020

  58. Class IIIPotential for more than minimal harm (E)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 Jan 21, 2020

  59. Class IIIPotential for more than minimal harm (E)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 Jan 21, 2020

  60. 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 Jan 21, 2020

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

    F0908: Environmental

    Environment

    Keep all essential equipment working safely.

    Corrected Jan 21, 2020

  62. 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 Jan 21, 2020

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

    F0551: Resident Rights

    Resident rights

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

    Corrected Jan 21, 2020

  64. 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 Jan 21, 2020

  65. Class IIIPotential for more than minimal harm (D)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 Jan 21, 2020

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

    F0583: Resident Rights

    Resident rights

    Keep residents' personal and medical records private and confidential.

    Corrected Jan 21, 2020

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

    F0608: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

    Corrected Jan 21, 2020

  68. 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 Jan 21, 2020

  69. 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 Jan 21, 2020

  70. 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 Jan 21, 2020

  71. 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 Jan 21, 2020

  72. 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 Jan 21, 2020

  73. 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 Jan 21, 2020

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

    F0692: Quality of Life and Care

    Quality of life & care

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

    Corrected Jan 21, 2020

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

    F0714: Nursing and Physician Services

    Nursing & physician services

    Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist.

    Corrected Jan 21, 2020

  76. 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 Jan 21, 2020

  77. 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 Jan 21, 2020

  78. 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 Jan 21, 2020

  79. 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 Jan 21, 2020

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

    F0790: Quality of Life and Care

    Quality of life & care

    Provide routine and 24-hour emergency dental care for each resident.

    Corrected Jan 21, 2020

  81. 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 Jan 21, 2020

  82. 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 Jan 21, 2020

  83. 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 Jan 21, 2020

  84. 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 Jan 21, 2020

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

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Jan 21, 2020

  86. 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 Jan 21, 2020

  87. Class IVMinimal harm / potential for minimal harm (C)cms

    F0732: Nursing and Physician Services

    Nursing & physician services

    Post nurse staffing information every day.

    Corrected Jan 21, 2020

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

    F0561: Resident Rights

    Resident rights

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Corrected Jul 30, 2018

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

    F0565: Resident Rights

    Resident rights

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected Jul 30, 2018

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

    F0574: Resident Rights

    Resident rights

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

    Corrected Jul 30, 2018

  91. Class IIIPotential for more than minimal harm (E)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 Jul 30, 2018

  92. 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 30, 2018

  93. 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 Jul 30, 2018

  94. Class IIIPotential for more than minimal harm (E)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 30, 2018

  95. 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 Jul 30, 2018

  96. 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 Jul 30, 2018

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

    F0741: Quality of Life and Care

    Quality of life & care

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

    Corrected Jul 30, 2018

  98. Class IIIPotential for more than minimal harm (E)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 Jul 30, 2018

  99. 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 Jul 30, 2018

  100. Class IIIPotential for more than minimal harm (E)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 Jul 30, 2018

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

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected Jul 30, 2018

  102. 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 Jul 30, 2018

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

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Jul 30, 2018

  104. 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 Jul 30, 2018

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

    F0585: Resident Rights

    Resident rights

    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.

    Corrected Jul 30, 2018

  106. Class IIIPotential for more than minimal harm (D)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 Jul 30, 2018

  107. 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 Jul 30, 2018

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

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected Jul 30, 2018

  109. 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 Jul 30, 2018

  110. Class IIIPotential for more than minimal harm (D)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 Jul 30, 2018

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

    F0641: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure each resident receives an accurate assessment.

    Corrected Jul 30, 2018

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

    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 Jul 30, 2018

  113. 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 30, 2018

  114. 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 Jul 30, 2018

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

    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 Jul 30, 2018

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

    F0732: Nursing and Physician Services

    Nursing & physician services

    Post nurse staffing information every day.

    Corrected Jul 30, 2018

  117. 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 Jul 30, 2018

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

    F0772: Administration

    Administration

    Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided.

    Corrected Jul 30, 2018

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

    F0775: Administration

    Administration

    Keep complete, dated laboratory records in the resident's record.

    Corrected Jul 30, 2018

  120. 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 30, 2018

  121. 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 Jul 30, 2018

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

    F0908: Environmental

    Environment

    Keep all essential equipment working safely.

    Corrected Jul 30, 2018

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

    F0568: Resident Rights

    Resident rights

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

    Corrected Jul 30, 2018

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

    F0577: Resident Rights

    Resident rights

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected Jul 30, 2018

  125. Class IVMinimal harm / potential for minimal harm (B)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 Jul 30, 2018

  126. Class IVMinimal harm / potential for minimal harm (B)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 30, 2018

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

    F0814: Nutrition and Dietary

    Nutrition & dietary

    Dispose of garbage and refuse properly.

    Corrected Jul 30, 2018

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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