Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Severity L of L: immediate jeopardy, widespreadFound during a complaint inspectionCorrected May 16, 2025
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Severity L of L: immediate jeopardy, widespreadFound during a complaint inspectionCorrected May 12, 2025
Respond appropriately to all alleged violations.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected May 12, 2025
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected May 12, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected May 16, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected May 16, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected May 12, 2025
Dispose of garbage and refuse properly.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected May 12, 2025
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected May 12, 2025
Protect each resident from the wrongful use of the resident's belongings or money.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 12, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected May 12, 2025
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 12, 2025