Deficiency timeline

Rock River Nursing & Rehab

Dated inspection findings, penalties, and correction notes for this nursing home in Fort Atkinson, WI. Newest events first.

123 eventsTimeline fines $136,384Class insights →
  1. 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 Mar 10, 2026

  2. 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 Jan 13, 2026

  3. 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 Jan 13, 2026

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

    F0756: Pharmacy Service

    Pharmacy services

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

    Corrected Jan 13, 2026

  5. 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 Aug 28, 2025

  6. Class IVMinimal harm / potential for minimal harm (C)Complaint-relatedcms

    F0732: Nursing and Physician Services

    Nursing & physician services

    Post nurse staffing information every day.

    Corrected Aug 28, 2025

  7. 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 Aug 28, 2025

  8. 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 Aug 28, 2025

  9. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  10. Class IImmediate jeopardy (K)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Aug 28, 2025

  11. 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 Aug 28, 2025

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

    F0949: Administration

    Administration

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Corrected Aug 28, 2025

  13. 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 23, 2025

  14. 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 May 23, 2025

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

    F0553: Resident Rights

    Resident rights

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected May 23, 2025

  16. 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 23, 2025

  17. Class IIActual harm (G)cms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected May 23, 2025

  18. Class IIActual harm (G)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 23, 2025

  19. Class IIIPotential for more than minimal harm (F)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 23, 2025

  20. 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 May 23, 2025

  21. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0882: Infection Control

    Infection control

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Corrected May 23, 2025

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

    F0926: Environmental

    Environment

    Have policies on smoking.

    Corrected May 23, 2025

  23. 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.

    Corrected May 23, 2025

  24. 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 May 23, 2025

  25. 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 May 23, 2025

  26. 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 May 23, 2025

  27. Class IImmediate jeopardy (J)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 Feb 13, 2025

  28. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0730: Nursing and Physician Services

    Nursing & physician services

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

    Corrected Feb 13, 2025

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

    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 Feb 13, 2025

  30. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0941: Administration

    Administration

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

    Corrected Feb 13, 2025

  31. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0944: Administration

    Administration

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Corrected Feb 13, 2025

  32. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0946: Administration

    Administration

    Provide training in compliance and ethics.

    Corrected Feb 13, 2025

  33. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0949: Administration

    Administration

    Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Corrected Feb 13, 2025

  34. 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 Feb 13, 2025

  35. 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 Feb 13, 2025

  36. 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 Feb 13, 2025

  37. 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 Feb 13, 2025

  38. Class IIIPotential for more than minimal harm (D)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 Feb 13, 2025

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

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Feb 13, 2025

  40. 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 Feb 13, 2025

  41. 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 Feb 13, 2025

  42. 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 Feb 13, 2025

  43. 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 Feb 13, 2025

  44. Class IImmediate jeopardy (J)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 23, 2025

  45. 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 Oct 18, 2024

  46. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0925: Environmental

    Environment

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Corrected Oct 18, 2024

  47. 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 18, 2024

  48. 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 18, 2024

  49. Class IIIPotential for more than minimal harm (E)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 Oct 18, 2024

  50. 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 Oct 18, 2024

  51. 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 Oct 18, 2024

  52. 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 Oct 18, 2024

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

    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 Oct 18, 2024

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

    F0563: Resident Rights

    Resident rights

    Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

    Corrected Oct 18, 2024

  55. 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 Oct 18, 2024

  56. 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 Oct 18, 2024

  57. 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 Oct 18, 2024

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

    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 Oct 18, 2024

  59. 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 18, 2024

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

    F0684: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 18, 2024

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

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 18, 2024

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

    F0699: Quality of Life and Care

    Quality of life & care

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected Oct 18, 2024

  63. 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 Oct 18, 2024

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

    F0758: Pharmacy Service

    Pharmacy services

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected Oct 18, 2024

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

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Oct 18, 2024

  66. 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 Oct 18, 2024

  67. Class IVMinimal harm / potential for minimal harm (C)Complaint-relatedcms

    F0814: Nutrition and Dietary

    Nutrition & dietary

    Dispose of garbage and refuse properly.

    Corrected Oct 18, 2024

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

    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 Aug 15, 2024

  69. 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 Jul 16, 2024

  70. 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 Jul 16, 2024

  71. 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 Jul 16, 2024

  72. 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 Jul 16, 2024

  73. 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 Jul 16, 2024

  74. Class IIActual harm (G)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 21, 2024

  75. 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 Jul 16, 2024

  76. Class IImmediate jeopardy (J)Complaint-relatedcms

    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 Apr 9, 2024

  77. Class IIIPotential for more than minimal harm (F)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 May 23, 2024

  78. 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 May 23, 2024

  79. 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 May 23, 2024

  80. 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 23, 2024

  81. 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 May 23, 2024

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

    F0610: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

    Respond appropriately to all alleged violations.

    Corrected May 23, 2024

  83. 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 May 23, 2024

  84. 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 May 23, 2024

  85. 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 23, 2024

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

    F0742: Quality of Life and Care

    Quality of life & care

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    Corrected May 23, 2024

  87. 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 May 23, 2024

  88. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

  89. Fine $119,141cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  90. Class IIActual harm (G)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Oct 21, 2024

  91. 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 23, 2024

  92. 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 May 23, 2024

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

    F0807: Nutrition and Dietary

    Nutrition & dietary

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

    Corrected May 23, 2024

  94. 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 Jul 16, 2024

  95. 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 Mar 19, 2024

  96. 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 Mar 19, 2024

  97. 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 Mar 12, 2024

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

    F0572: Resident Rights

    Resident rights

    Give residents a notice of rights, rules, services and charges.

    Corrected Jan 12, 2024

  99. 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 Jan 12, 2024

  100. 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 Jan 12, 2024

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

    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 Jan 12, 2024

  102. 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 Mar 12, 2024

  103. 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 12, 2024

  104. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0814: Nutrition and Dietary

    Nutrition & dietary

    Dispose of garbage and refuse properly.

    Corrected Nov 10, 2023

  105. 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 10, 2023

  106. Class IIIPotential for more than minimal harm (E)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 Nov 10, 2023

  107. 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 Nov 10, 2023

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

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Nov 10, 2023

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

    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 Nov 10, 2023

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

    F0825: Quality of Life and Care

    Quality of life & care

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected Nov 10, 2023

  111. 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 Nov 10, 2023

  112. 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 Nov 10, 2023

  113. 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 Nov 10, 2023

  114. 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.

    Corrected Nov 10, 2023

  115. 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 Nov 10, 2023

  116. 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 Nov 10, 2023

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

    F0810: Nutrition and Dietary

    Nutrition & dietary

    Provide special eating equipment and utensils for residents who need them and appropriate assistance.

    Corrected Nov 10, 2023

  118. 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 Nov 10, 2023

  119. Fine $17,243cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  120. 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 10, 2023

  121. Class IIIPotential for more than minimal harm (F)Complaint-relatedcms

    F0804: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Nov 10, 2023

  122. Class IIActual harm (G)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 12, 2024

  123. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

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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