Updated as of September 01, 2020

The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

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Deficiency Deficiency Date
Inspect, test, and maintain automatic sprinkler systems. 2018-10-23
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. 2018-10-22
Provide and implement an infection prevention and control program. 2018-10-22
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. 2018-10-22
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. 2018-10-22
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. 2018-10-22
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. 2018-10-22
Assist a resident in gaining access to vision and hearing services. 2018-10-22
Provide enough food/fluids to maintain a resident's health. 2018-10-22
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. 2017-10-26
Ensure services provided by the nursing facility meet professional standards of quality. 2017-10-26
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. 2017-10-26