Updated as of July 01, 2020

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

The tables below are too small to fit on a phone. More information can be seen using a larger device such as a tablet, laptop, or desktop computer.

Deficiency Deficiency Date
Use approved construction type or materials. 2019-08-01
Install emergency lighting that can last at least 1 1/2 hours. 2019-08-01
Provide properly protected cooking facilities. 2019-08-01
Have approved installation, maintenance and testing program for fire alarm systems. 2019-08-01
Follow proper procedures when the fire alarm was out of service for more than 4 hours. 2019-08-01
Inspect, test, and maintain automatic sprinkler systems. 2019-08-01
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. 2019-08-01
Properly select, install, inspect, or maintain portable fire extinguishes. 2019-08-01
Install corridor and hallway doors that block smoke. 2019-08-01
Install smoke barrier doors that can resist smoke for at least 20 minutes. 2019-08-01
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. 2019-08-01
Ensure proper usage of power strips and extension cords. 2019-08-01
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. 2019-06-21
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. 2019-06-21
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 2019-06-21
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. 2019-06-21
Honor each resident's preferences, choices, values and beliefs. 2019-06-21
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. 2019-06-21
Provide activities to meet all resident's needs. 2019-06-21
Provide appropriate treatment and care according to orders, resident?s preferences and goals. 2019-06-21
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. 2019-06-21
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. 2019-06-21
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. 2019-06-21
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. 2019-06-21
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. 2019-06-21
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. 2019-06-21
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. 2019-06-21
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. 2019-06-21
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. 2019-06-21
Provide and implement an infection prevention and control program. 2019-06-21