Deficiency timeline
Friendship Rehab And Health
Dated inspection findings, penalties, and correction notes for this nursing home in Beaver, PA. Newest events first.
- 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 27, 2026
- 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 May 27, 2026
- 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 May 27, 2026
- 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 23, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0908: Environmental
Environment
Keep all essential equipment working safely.
Corrected Apr 23, 2026
- Class IIIPotential for more than minimal harm (D)cms
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 Apr 23, 2026
- 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 Apr 23, 2026
- Class IIIPotential for more than minimal harm (D)cms
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 23, 2026
- 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 23, 2026
- Class IVMinimal harm / potential for minimal harm (C)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 Apr 23, 2026
- Class IVMinimal harm / potential for minimal harm (C)cms
F0575: Resident Rights
Resident rights
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected Apr 23, 2026
- 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 23, 2026
- 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 23, 2026
- 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 23, 2026
- Class IIIPotential for more than minimal harm (F)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 23, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0628: Resident Rights
Resident rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Apr 23, 2026
- 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 Apr 23, 2026
- 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 Apr 23, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0692: Quality of Life and Care
Quality of life & care
Provide enough food/fluids to maintain a resident's health.
Corrected Apr 23, 2026
- Class IIIPotential for more than minimal harm (E)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 Apr 23, 2026
- 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 Apr 23, 2026
- 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 Apr 23, 2026
- Class IIIPotential for more than minimal harm (E)cms
F0814: Nutrition and Dietary
Nutrition & dietary
Dispose of garbage and refuse properly.
Corrected Apr 23, 2026
- 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 23, 2026
- 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 Apr 23, 2026
- 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 23, 2026
- 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 Apr 23, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0644: Resident Assessment and Care Planning
Assessment & care planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected Apr 23, 2026
- 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 Apr 23, 2026
- 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 23, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Jan 16, 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.
Corrected Nov 24, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0835: Administration
Administration
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected Dec 19, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected Dec 5, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
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 Dec 12, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0850: Administration
Administration
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected Dec 12, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0865: Administration
Administration
Have a plan that describes the process for conducting QAPI and QAA activities.
Corrected Dec 12, 2025
- 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 Dec 12, 2025
- 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 Dec 12, 2025
- Class IIIPotential for more than minimal harm (E)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 Dec 12, 2025
- 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 Dec 5, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
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.
- 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.
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
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 Sep 2, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected Sep 2, 2025
- 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 Sep 2, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0944: Administration
Administration
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected Sep 2, 2025
- Class IIIPotential for more than minimal harm (D)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 Sep 2, 2025
- 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 2, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0801: Nutrition and Dietary
Nutrition & dietary
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected Sep 2, 2025
- Fine $12,441cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0835: Administration
Administration
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected Sep 2, 2025
- 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.
Corrected Jul 26, 2025
- Class IIIPotential for more than minimal harm (F)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 Sep 2, 2025
- 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 Sep 2, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0602: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected Jun 20, 2025
- 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 May 7, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
Corrected May 7, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0778: Administration
Administration
Help the resident make transportation arrangements to and from radiology services.
Corrected Apr 18, 2025
- 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 Apr 18, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
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, 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 Apr 18, 2025
- 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 Mar 13, 2025
- Fine $51,110cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- cms
Payment denial
Medicare/Medicaid payment denial issued following a survey deficiency.
- 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.
Corrected Mar 13, 2025
- Class IImmediate jeopardy (J)cms
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 Mar 13, 2025
- Class IIIPotential for more than minimal harm (F)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 13, 2025
- Class IIIPotential for more than minimal harm (F)cms
F0835: Administration
Administration
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected Mar 13, 2025
- Class IIIPotential for more than minimal harm (F)cms
F0841: Nursing and Physician Services
Nursing & physician services
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Corrected Mar 13, 2025
- 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 May 2, 2025
- 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 May 21, 2025
- 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 Mar 13, 2025
- 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 Mar 13, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0699: Quality of Life and Care
Quality of life & care
Provide care or services that was trauma informed and/or culturally competent.
Corrected Mar 13, 2025
- Class IIIPotential for more than minimal harm (E)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 Mar 13, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0917: Environmental
Environment
Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.
Corrected May 2, 2025
- 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 Mar 13, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0583: Resident Rights
Resident rights
Keep residents' personal and medical records private and confidential.
Corrected Mar 13, 2025
- 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 Mar 13, 2025
- 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 Mar 13, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0620: Resident Rights
Resident rights
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.
Corrected Mar 13, 2025
- 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 Mar 13, 2025
- 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 Mar 13, 2025
- 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 13, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0691: Quality of Life and Care
Quality of life & care
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Corrected Mar 13, 2025
- 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 Mar 13, 2025
- 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 Mar 13, 2025
- 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 Mar 13, 2025
- 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 Mar 13, 2025
- 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 Mar 13, 2025
- 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 Mar 13, 2025
- 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 Mar 13, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0868: Administration
Administration
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected Mar 13, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected May 2, 2025
- 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 Mar 13, 2025
- Class IIIPotential for more than minimal harm (D)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 Mar 13, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0908: Environmental
Environment
Keep all essential equipment working safely.
Corrected Mar 13, 2025
- 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 13, 2025
- Class IIIPotential for more than minimal harm (D)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 Jan 17, 2025
- 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 Dec 27, 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 Dec 27, 2024
- Fine $31,034cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- 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 Dec 27, 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 Dec 27, 2024
- Class IIIPotential for more than minimal harm (F)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 27, 2024
- Class IIIPotential for more than minimal harm (E)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 Nov 22, 2024
- Class IIIPotential for more than minimal harm (F)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 Nov 22, 2024
- 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 Nov 22, 2024
- Class IIIPotential for more than minimal harm (F)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 Oct 25, 2024
- 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 25, 2024
- 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 Oct 25, 2024
- 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 Oct 25, 2024
- Class IIIPotential for more than minimal harm (D)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 Oct 8, 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 Sep 20, 2024
- Class IIIPotential for more than minimal harm (E)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 20, 2024
- 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 Sep 20, 2024
- 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 Sep 20, 2024
- 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 Aug 8, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0552: Resident Rights
Resident rights
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected Aug 8, 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 Aug 8, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
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 Aug 8, 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 Aug 8, 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 Aug 2, 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 Aug 2, 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 Aug 2, 2024
- Class IImmediate jeopardy (L)Complaint-relatedcms
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 Aug 2, 2024
- Class IIIPotential for more than minimal harm (F)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 Aug 2, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0848: Administration
Administration
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected Aug 2, 2024
- Class IImmediate jeopardy (L)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 Aug 2, 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 Jun 25, 2024
- Fine $50,264cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- 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 May 8, 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 May 8, 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 May 8, 2024
- 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 May 8, 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 May 8, 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 May 8, 2024
- 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 May 8, 2024
- 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 May 27, 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 May 8, 2024
- 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 May 8, 2024
- 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 May 8, 2024
- 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 May 8, 2024
- 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 May 8, 2024
- 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 May 8, 2024
- 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 May 8, 2024
- 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 May 8, 2024
- 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 May 8, 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 May 8, 2024
- Class IImmediate jeopardy (L)cms
F0678: Quality of Life and Care
Quality of life & care
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected May 8, 2024
- Class IImmediate jeopardy (K)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 May 8, 2024
- Class IImmediate jeopardy (J)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 May 8, 2024
- Class IIIPotential for more than minimal harm (F)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 May 8, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0814: Nutrition and Dietary
Nutrition & dietary
Dispose of garbage and refuse properly.
Corrected May 8, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0835: Administration
Administration
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected May 8, 2024
- Class IIIPotential for more than minimal harm (F)cms
F0837: Administration
Administration
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected May 8, 2024
- Class IIIPotential for more than minimal harm (F)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 May 8, 2024
- 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 May 8, 2024
- 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 May 8, 2024
- Class IIIPotential for more than minimal harm (E)cms
F0602: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 8, 2024
- cms
Payment denial
Medicare/Medicaid payment denial issued following a survey deficiency.
- Fine $89,540cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- 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 8, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0908: Environmental
Environment
Keep all essential equipment working safely.
Corrected Dec 27, 2023
- 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 Dec 27, 2023
- 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 Dec 27, 2023
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0680: Quality of Life and Care
Quality of life & care
Ensure the activities program is directed by a qualified professional.
Corrected Dec 27, 2023
- 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 Dec 27, 2023
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0919: Environmental
Environment
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected Dec 27, 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 Nov 15, 2023
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0554: Resident Rights
Resident rights
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected Nov 15, 2023
- 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 Nov 15, 2023
- 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 15, 2023
- Class IIIPotential for more than minimal harm (E)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 Nov 15, 2023
- 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 Sep 25, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0885: Infection Control
Infection control
Report COVID19 data to residents and families.
Corrected Sep 25, 2023
- 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 27, 2023
- 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 Sep 27, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0685: Quality of Life and Care
Quality of life & care
Assist a resident in gaining access to vision and hearing services.
Corrected Sep 27, 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