Deficiency timeline
The Terrace at Crystal LLC
Dated inspection findings, penalties, and correction notes for this nursing home in Crystal, MN. Newest events first.
- Class IImmediate jeopardy (J)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
- 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.
- Class IIIPotential for more than minimal harm (F)cms
F0680: Quality of Life and Care
Quality of life & care
Ensure the activities program is directed by a qualified professional.
- 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.
- Class IIIPotential for more than minimal harm (F)cms
F0944: Administration
Administration
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- Class IIIPotential for more than minimal harm (F)cms
F0946: Administration
Administration
Provide training in compliance and ethics.
- 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.
- Class IIIPotential for more than minimal harm (E)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.
- 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.
- Class IIIPotential for more than minimal harm (D)cms
F0558: Resident Rights
Resident rights
Reasonably accommodate the needs and preferences of each resident.
- Class IIIPotential for more than minimal harm (D)cms
F0605: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- Class IIIPotential for more than minimal harm (D)cms
F0627: Resident Rights
Resident rights
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- Class IIIPotential for more than minimal harm (D)cms
F0628: Resident Rights
Resident rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- 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.
- Class IIIPotential for more than minimal harm (D)cms
F0676: Quality of Life and Care
Quality of life & care
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- 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.
- Class IIIPotential for more than minimal harm (D)cms
F0679: Quality of Life and Care
Quality of life & care
Provide activities to meet all resident's needs.
- Class IIIPotential for more than minimal harm (D)cms
F0685: Quality of Life and Care
Quality of life & care
Assist a resident in gaining access to vision and hearing services.
- 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.
- Class IIIPotential for more than minimal harm (D)cms
F0712: Nursing and Physician Services
Nursing & physician services
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
- 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.
- Class IIIPotential for more than minimal harm (D)cms
F0908: Environmental
Environment
Keep all essential equipment working safely.
- Class IIIPotential for more than minimal harm (D)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.
- Class IVMinimal harm / potential for minimal harm (C)cms
F0732: Nursing and Physician Services
Nursing & physician services
Post nurse staffing information every day.
- 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 6, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0627: Resident Rights
Resident rights
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected May 6, 2026
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0628: Resident Rights
Resident rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected May 6, 2026
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0658: Resident Assessment and Care Planning
Assessment & care planning
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 9, 2026
- 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 31, 2026
- 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 Mar 31, 2026
- 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 Feb 13, 2026
- 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, 2026
- 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 Jan 22, 2026
- Class IImmediate jeopardy (K)cms
F0880: Infection Control
Infection control
Provide and implement an infection prevention and control program.
Corrected Feb 20, 2026
- Class IImmediate jeopardy (J)cms
F0578: Resident Rights
Resident rights
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected Jan 22, 2026
- Class IIIPotential for more than minimal harm (F)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 Jan 22, 2026
- Class IIIPotential for more than minimal harm (F)cms
F0576: Resident Rights
Resident rights
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected Jan 22, 2026
- 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 Jan 22, 2026
- 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 Jan 22, 2026
- Class IIIPotential for more than minimal harm (F)cms
F0867: Administration
Administration
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected Jan 22, 2026
- Class IIIPotential for more than minimal harm (F)cms
F0919: Environmental
Environment
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected Jan 22, 2026
- Class IIIPotential for more than minimal harm (F)cms
F0941: Administration
Administration
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected Feb 20, 2026
- Class IIIPotential for more than minimal harm (F)cms
F0942: Resident Rights
Resident rights
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected Jan 22, 2026
- Class IIIPotential for more than minimal harm (F)cms
F0944: Administration
Administration
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected Jan 22, 2026
- Class IIIPotential for more than minimal harm (F)cms
F0946: Administration
Administration
Provide training in compliance and ethics.
Corrected Jan 22, 2026
- Class IIIPotential for more than minimal harm (F)cms
F0949: Administration
Administration
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected Jan 22, 2026
- 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 Jan 22, 2026
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Jan 22, 2026
- Class IIIPotential for more than minimal harm (E)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 22, 2026
- Class IIIPotential for more than minimal harm (D)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 Jan 22, 2026
- 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 22, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0657: Resident Assessment and Care Planning
Assessment & care planning
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected Jan 22, 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 Jan 22, 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 Feb 20, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0697: Quality of Life and Care
Quality of life & care
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Feb 20, 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 Feb 20, 2026
- Class IIIPotential for more than minimal harm (D)cms
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 Jan 22, 2026
- Class IIIPotential for more than minimal harm (D)cms
F0757: Pharmacy Service
Pharmacy services
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected Jan 22, 2026
- cms
Payment denial
Medicare/Medicaid payment denial issued following a survey deficiency.
- 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 Aug 26, 2025
- 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 Aug 26, 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 Aug 26, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0921: Environmental
Environment
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Aug 26, 2025
- 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 Aug 26, 2025
- 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 Aug 26, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (E)cms
F0805: Nutrition and Dietary
Nutrition & dietary
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected Sep 11, 2025
- 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 Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0576: Resident Rights
Resident rights
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected Aug 26, 2025
- 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 Aug 26, 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 Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0605: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0636: Resident Assessment and Care Planning
Assessment & care planning
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0638: Resident Assessment and Care Planning
Assessment & care planning
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected Aug 26, 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 Aug 26, 2025
- 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 26, 2025
- 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 Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0676: Quality of Life and Care
Quality of life & care
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0679: Quality of Life and Care
Quality of life & care
Provide activities to meet all resident's needs.
Corrected Aug 26, 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 Aug 26, 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 Aug 26, 2025
- 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 Aug 26, 2025
- 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 Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0697: Quality of Life and Care
Quality of life & care
Provide safe, appropriate pain management for a resident who requires such services.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0755: Pharmacy Service
Pharmacy services
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected Aug 26, 2025
- 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 Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0760: Pharmacy Service
Pharmacy services
Ensure that residents are free from significant medication errors.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)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 Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0806: Nutrition and Dietary
Nutrition & dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected Aug 26, 2025
- Class IIIPotential for more than minimal harm (D)cms
F0808: Nutrition and Dietary
Nutrition & dietary
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected Aug 26, 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 Aug 26, 2025
- 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 Aug 26, 2025
- 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 Jul 30, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0627: Resident Rights
Resident rights
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected Jun 24, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0628: Resident Rights
Resident rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected Jun 24, 2025
- 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 Apr 21, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0700: Quality of Life and Care
Quality of life & care
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected Mar 27, 2025
- Class IIActual harm (G)Complaint-relatedcms
F0760: Pharmacy Service
Pharmacy services
Ensure that residents are free from significant medication errors.
Corrected Mar 31, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Mar 31, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0727: Nursing and Physician Services
Nursing & physician services
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected Mar 31, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0806: Nutrition and Dietary
Nutrition & dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected Feb 28, 2025
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0808: Nutrition and Dietary
Nutrition & dietary
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Corrected Feb 28, 2025
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected Feb 28, 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 Feb 28, 2025
- 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 Feb 28, 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 Feb 28, 2025
- 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 Feb 2, 2025
- 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 Jan 6, 2025
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0921: Environmental
Environment
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected Oct 4, 2024
- cms
Payment denial
Medicare/Medicaid payment denial issued following a survey deficiency.
- 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 4, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0791: Quality of Life and Care
Quality of life & care
Provide or obtain dental services for each resident.
Corrected Oct 4, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0686: Quality of Life and Care
Quality of life & care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected Oct 4, 2024
- 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 Oct 4, 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 4, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0689: Quality of Life and Care
Quality of life & care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected Oct 29, 2024
- Fine $16,349cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- 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 Aug 22, 2024
- 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 17, 2024
- Class IVMinimal harm / potential for minimal harm (C)Complaint-relatedcms
F0843: Administration
Administration
Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.
Corrected May 17, 2024
- 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 May 17, 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 May 31, 2024
- 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 31, 2024
- 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 May 31, 2024
- Fine $17,813cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- cms
Payment denial
Medicare/Medicaid payment denial issued following a survey deficiency.
- Class IIIPotential for more than minimal harm (F)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 May 31, 2024
- 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 31, 2024
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0804: Nutrition and Dietary
Nutrition & dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected May 31, 2024
- 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 May 31, 2024
- 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 May 31, 2024
- 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 May 31, 2024
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0695: Quality of Life and Care
Quality of life & care
Provide safe and appropriate respiratory care for a resident when needed.
Corrected May 31, 2024
- 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 Jun 19, 2024
- Fine $14,814cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $4,938cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $4,545cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- Fine $11,645cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- 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 Dec 14, 2023
- 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 Dec 14, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0656: Resident Assessment and Care Planning
Assessment & care planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected Dec 15, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0926: Environmental
Environment
Have policies on smoking.
Corrected Dec 15, 2023
- 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 Dec 15, 2023
- Fine $8,469cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- 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 30, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
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 Nov 30, 2023
- 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 Nov 30, 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 Nov 30, 2023
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0838: Administration
Administration
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected Nov 30, 2023
- 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 13, 2023
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0919: Environmental
Environment
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected Oct 10, 2023
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0725: Nursing and Physician Services
Nursing & physician services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Nov 10, 2023
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
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 Nov 10, 2023
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0725: Nursing and Physician Services
Nursing & physician services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Nov 10, 2023
- 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 13, 2023
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0919: Environmental
Environment
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected Oct 10, 2023
- Class IIIPotential for more than minimal harm (E)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 Nov 10, 2023
- 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 Sep 21, 2023
- 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 Nov 10, 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 21, 2023
- Class IImmediate jeopardy (J)Complaint-relatedcms
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 Aug 18, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0609: Freedom from Abuse, Neglect, and Exploitation
Abuse, neglect & exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected Sep 1, 2023
- Class IIIPotential for more than minimal harm (D)Complaint-relatedcms
F0580: Resident Rights
Resident rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected Sep 1, 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 Oct 10, 2023
- 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 Nov 10, 2023
- Class IIIPotential for more than minimal harm (F)Complaint-relatedcms
F0838: Administration
Administration
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected Nov 10, 2023
- Fine $95,471cms
CMS fine
Civil money penalty recorded in CMS Nursing Home Compare.
- 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 Aug 18, 2023
- Class IIIPotential for more than minimal harm (E)Complaint-relatedcms
F0725: Nursing and Physician Services
Nursing & physician services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected Aug 18, 2023
- cms
Payment denial
Medicare/Medicaid payment denial issued following a survey deficiency.
- 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 Aug 18, 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