Deficiency timeline

SPRINGFIELD SKILLED CARE CENTER

Dated inspection findings, penalties, and correction notes for this nursing home in Springfield, MO. Newest events first.

100 eventsTimeline fines $189,066Class insights →
  1. 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 24, 2026

  2. Fine $83,545cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

  3. 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 Feb 24, 2026

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

    F0567: Resident Rights

    Resident rights

    Honor the resident's right to manage his or her financial affairs.

    Corrected Feb 24, 2026

  5. 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 24, 2026

  6. 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 24, 2026

  7. Class IIActual harm (G)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 Feb 24, 2026

  8. Class IIActual harm (G)Complaint-relatedcms

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected Feb 24, 2026

  9. 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 20, 2025

  10. Class IIActual harm (G)Complaint-relatedcms

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected Mar 27, 2025

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

    F0868: Administration

    Administration

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

    Corrected Mar 27, 2025

  12. 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 May 20, 2025

  13. 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 May 20, 2025

  14. 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 Mar 27, 2025

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

    F0582: Resident Rights

    Resident rights

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

    Corrected Mar 27, 2025

  16. 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 Mar 27, 2025

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

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Mar 27, 2025

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

    F0661: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected Mar 27, 2025

  19. 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 Mar 27, 2025

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

    F0689: Quality of Life and Care

    Quality of life & care

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

    Corrected Mar 27, 2025

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

    F0690: Quality of Life and Care

    Quality of life & care

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected Mar 27, 2025

  22. 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 May 20, 2025

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

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Mar 27, 2025

  24. 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 27, 2025

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

    F0577: Resident Rights

    Resident rights

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

    Corrected Mar 27, 2025

  26. cms

    Payment denial

    Medicare/Medicaid payment denial issued following a survey deficiency.

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

    F0732: Nursing and Physician Services

    Nursing & physician services

    Post nurse staffing information every day.

    Corrected Mar 27, 2025

  28. Class IImmediate jeopardy (J)Complaint-relatedcms

    F0686: Quality of Life and Care

    Quality of life & care

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

    Corrected Mar 27, 2025

  29. Class IIActual harm (G)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 27, 2025

  30. Fine $105,521cms

    CMS fine

    Civil money penalty recorded in CMS Nursing Home Compare.

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

    F0623: Resident Rights

    Resident rights

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

    Corrected Dec 27, 2024

  32. 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 11, 2024

  33. 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 Oct 11, 2024

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

    F0919: Environmental

    Environment

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected Oct 11, 2024

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

    F0609: Freedom from Abuse, Neglect, and Exploitation

    Abuse, neglect & exploitation

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

    Corrected Oct 11, 2024

  36. 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 11, 2024

  37. 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 Oct 11, 2024

  38. 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 11, 2024

  39. 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 11, 2024

  40. 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 11, 2024

  41. 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 11, 2024

  42. 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 Oct 11, 2024

  43. 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 11, 2024

  44. 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 Aug 22, 2024

  45. 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 11, 2024

  46. 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 11, 2024

  47. 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 11, 2024

  48. 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 Oct 11, 2024

  49. 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 11, 2024

  50. 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 11, 2024

  51. 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 22, 2024

  52. 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 11, 2024

  53. 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 Feb 21, 2024

  54. 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 Feb 21, 2024

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

    F0698: Quality of Life and Care

    Quality of life & care

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

    Corrected Feb 21, 2024

  56. 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 Jan 9, 2024

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

  58. 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 20, 2023

  59. 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 20, 2023

  60. 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 15, 2023

  61. 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 Mar 15, 2023

  62. 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 Mar 15, 2023

  63. 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 Mar 15, 2023

  64. 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 Mar 15, 2023

  65. 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 15, 2023

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

    F0732: Nursing and Physician Services

    Nursing & physician services

    Post nurse staffing information every day.

    Corrected Mar 15, 2023

  67. Class IVMinimal harm / potential for minimal harm (B)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 Mar 15, 2023

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

    F0883: Infection Control

    Infection control

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

    Corrected Mar 15, 2023

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

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Mar 15, 2023

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

    F0760: Pharmacy Service

    Pharmacy services

    Ensure that residents are free from significant medication errors.

    Corrected Mar 15, 2023

  71. 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 15, 2023

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

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Mar 15, 2023

  73. 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 Mar 15, 2023

  74. 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 Mar 15, 2023

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

    F0623: Resident Rights

    Resident rights

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

    Corrected Mar 15, 2023

  76. 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 Mar 15, 2023

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

    F0584: Resident Rights

    Resident rights

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected Mar 15, 2023

  78. 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 Mar 15, 2023

  79. 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 Mar 15, 2023

  80. 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 Mar 15, 2023

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

    F0640: Resident Assessment and Care Planning

    Assessment & care planning

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

    Corrected Mar 15, 2023

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

    F0700: Quality of Life and Care

    Quality of life & care

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected Jan 10, 2020

  83. Class IIIPotential for more than minimal harm (F)cms

    F0804: Nutrition and Dietary

    Nutrition & dietary

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

    Corrected Jan 10, 2020

  84. Class IIIPotential for more than minimal harm (F)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 10, 2020

  85. Class IIIPotential for more than minimal harm (E)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 10, 2020

  86. Class IIIPotential for more than minimal harm (E)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 10, 2020

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

    F0676: Quality of Life and Care

    Quality of life & care

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Corrected Jan 10, 2020

  88. 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 Jan 10, 2020

  89. Class IIIPotential for more than minimal harm (E)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 Jan 10, 2020

  90. Class IIIPotential for more than minimal harm (E)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 10, 2020

  91. 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 10, 2020

  92. 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 Jan 10, 2020

  93. 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 10, 2020

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

    F0661: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

    Corrected Jan 10, 2020

  95. 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 Jan 10, 2020

  96. 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 10, 2020

  97. 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 Jan 10, 2020

  98. 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 Jan 10, 2020

  99. 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 10, 2020

  100. 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 10, 2020

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