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MIRAGE POST ACUTE

Nursing Home · 44445 15TH ST W, LANCASTER, CA 93534 · 6619487501
Full Report · Generated April 14, 2026

Assessment Summary

6 Notice 285 Concern 3 Serious 3 Critical
Resolution: all resolved · 297 total findings from public inspection records

Government Ratings (CMS)

Overall
Health Inspection
Quality Measures
Staffing
RN Staffing

Facility Details

Beds299
OwnershipFor profit - Partnership

Staffing

5.53 hours/resident/day (1.02 above state average of 4.51)

Fewer findings than 0% of facilities in this area

Red Flags

Penalties & Fines (2)

DateTypeAmountSeverity
2025-03-10Fine$99,263.00Critical
2025-02-07Fine$18,351.00Serious

All Inspection Findings (297)

Complete record of health and fire safety findings from CMS inspection data. Sorted by date (newest first) and grouped by severity.

Critical Findings (3)

DateTagDescriptionTypeStatus
2025-03-28F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.HealthResolved
2025-03-28F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.HealthResolved
2025-03-28F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HealthResolved

Serious Findings (3)

DateTagDescriptionTypeStatus
2025-11-24F0880Provide and implement an infection prevention and control program.HealthResolved
2025-08-21F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HealthResolved
2025-02-07F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.HealthResolved

Concern Findings (285)

DateTagDescriptionTypeStatus
2025-12-17F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.HealthResolved
2025-11-25F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.HealthResolved
2025-11-24F0584Honor 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.HealthResolved
2025-11-24F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.HealthResolved
2025-11-24F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HealthResolved
2025-09-05F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.HealthResolved
2025-09-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HealthResolved
2025-09-05F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2025-09-05F0919Make sure that a working call system is available in each resident's bathroom and bathing area.HealthResolved
2025-09-05F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.HealthResolved
2025-08-21F0585Honor 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.HealthResolved
2025-08-21F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.HealthResolved
2025-08-21F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.HealthResolved
2025-08-21F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.HealthResolved
2025-08-21F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2025-08-21F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.HealthResolved
2025-08-07F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.HealthResolved
2025-08-07F0679Provide activities to meet all resident's needs.HealthResolved
2025-08-07F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HealthResolved
2025-08-07F0880Provide and implement an infection prevention and control program.HealthResolved
2025-07-22F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HealthResolved
2025-07-15F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2025-07-09F0558Reasonably accommodate the needs and preferences of each resident.HealthResolved
2025-07-09F0695Provide safe and appropriate respiratory care for a resident when needed.HealthResolved
2025-07-09F0697Provide safe, appropriate pain management for a resident who requires such services.HealthResolved
2025-07-09F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.HealthResolved
2025-06-05F0558Reasonably accommodate the needs and preferences of each resident.HealthResolved
2025-06-05F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HealthResolved
2025-05-16F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HealthResolved
2025-05-16F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HealthResolved
2025-05-16F0697Provide safe, appropriate pain management for a resident who requires such services.HealthResolved
2025-05-16F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2025-04-03F0584Honor 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.HealthResolved
2025-04-03F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.HealthResolved
2025-04-03F0677Provide care and assistance to perform activities of daily living for any resident who is unable.HealthResolved
2025-04-03F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HealthResolved
2025-04-03F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HealthResolved
2025-04-03F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2025-03-28F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.HealthResolved
2025-03-12F0760Ensure that residents are free from significant medication errors.HealthResolved
2025-03-12F0558Reasonably accommodate the needs and preferences of each resident.HealthResolved
2025-03-11F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.HealthResolved
2025-03-11F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HealthResolved
2025-03-11F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HealthResolved
2025-03-10F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.HealthResolved
2025-03-10F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.HealthResolved
2025-02-25F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.HealthResolved
2025-02-25F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.HealthResolved
2025-02-04F0583Keep residents' personal and medical records private and confidential.HealthResolved
2025-02-04F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2025-01-28F0585Honor 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.HealthResolved
2025-01-28F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.HealthResolved
2025-01-28F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.HealthResolved
2025-01-22F0732Post nurse staffing information every day.HealthResolved
2025-01-22F0760Ensure that residents are free from significant medication errors.HealthResolved
2025-01-22F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.HealthResolved
2025-01-17F0554Allow residents to self-administer drugs if determined clinically appropriate.HealthResolved
2025-01-17F0558Reasonably accommodate the needs and preferences of each resident.HealthResolved
2025-01-17F0584Honor 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.HealthResolved
2025-01-17F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.HealthResolved
2025-01-17F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.HealthResolved
2025-01-17F0658Ensure services provided by the nursing facility meet professional standards of quality.HealthResolved
2025-01-17F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.HealthResolved
2025-01-17F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HealthResolved
2025-01-17F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HealthResolved
2025-01-17F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.HealthResolved
2025-01-17F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.HealthResolved
2025-01-17F0700Try 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.HealthResolved
2025-01-17F0758Implement 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.HealthResolved
2025-01-17F0760Ensure that residents are free from significant medication errors.HealthResolved
2025-01-17F0761Ensure 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.HealthResolved
2025-01-17F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.HealthResolved
2025-01-17F0803Ensure 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.HealthResolved
2025-01-17F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.HealthResolved
2025-01-17F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.HealthResolved
2025-01-17F0808Ensure 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.HealthResolved
2025-01-17F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.HealthResolved
2025-01-17F0814Dispose of garbage and refuse properly.HealthResolved
2025-01-17F0880Provide and implement an infection prevention and control program.HealthResolved
2025-01-17F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.HealthResolved
2025-01-17F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2025-01-17K0351Install an approved automatic sprinkler system.Fire SafetyResolved
2025-01-17K0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Fire SafetyResolved
2025-01-17K0353Inspect, test, and maintain automatic sprinkler systems.Fire SafetyResolved
2025-01-17K0363Install corridor and hallway doors that block smoke.Fire SafetyResolved
2025-01-17K0511Have properly installed electrical wiring and gas equipment.Fire SafetyResolved
2025-01-17K0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Fire SafetyResolved
2025-01-17K0923Have proper medical gas storage and administration areas.Fire SafetyResolved
2025-01-07F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2025-01-06F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HealthResolved
2025-01-06F0695Provide safe and appropriate respiratory care for a resident when needed.HealthResolved
2025-01-06F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2025-01-06F0880Provide and implement an infection prevention and control program.HealthResolved
2024-12-19F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.HealthResolved
2024-12-19F0584Honor 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.HealthResolved
2024-12-19F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.HealthResolved
2024-12-19F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HealthResolved
2024-12-12F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.HealthResolved
2024-12-06F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.HealthResolved
2024-11-25F0584Honor 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.HealthResolved
2024-11-25F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.HealthResolved
2024-11-25F0880Provide and implement an infection prevention and control program.HealthResolved
2024-11-15F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.HealthResolved
2024-11-15F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.HealthResolved
2024-11-15F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.HealthResolved
2024-11-14F0880Provide and implement an infection prevention and control program.HealthResolved
2024-11-13F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.HealthResolved
2024-11-13F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.HealthResolved
2024-11-13F0677Provide care and assistance to perform activities of daily living for any resident who is unable.HealthResolved
2024-11-13F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HealthResolved
2024-11-13F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.HealthResolved
2024-10-08F0677Provide care and assistance to perform activities of daily living for any resident who is unable.HealthResolved
2024-10-08F0679Provide activities to meet all resident's needs.HealthResolved
2024-10-08F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2024-10-03F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.HealthResolved
2024-10-03F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.HealthResolved
2024-09-28F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.HealthResolved
2024-09-28F0558Reasonably accommodate the needs and preferences of each resident.HealthResolved
2024-09-28F0585Honor 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.HealthResolved
2024-09-28F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.HealthResolved
2024-09-28F0679Provide activities to meet all resident's needs.HealthResolved
2024-09-28F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HealthResolved
2024-09-28F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HealthResolved
2024-09-28F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.HealthResolved
2024-09-28F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2024-09-28F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.HealthResolved
2024-09-28F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.HealthResolved
2024-09-28F0880Provide and implement an infection prevention and control program.HealthResolved
2024-09-03F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HealthResolved
2024-08-08F0552Ensure that residents are fully informed and understand their health status, care and treatments.HealthResolved
2024-08-08F0760Ensure that residents are free from significant medication errors.HealthResolved
2024-07-11F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.HealthResolved
2024-05-06F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.HealthResolved
2024-05-06F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.HealthResolved
2024-05-06F0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.HealthResolved
2024-05-01F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.HealthResolved
2024-05-01F0758Implement 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.HealthResolved
2024-04-16F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.HealthResolved
2024-03-18F0584Honor 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.HealthResolved
2024-03-18F0675Honor each resident's preferences, choices, values and beliefs.HealthResolved
2024-03-18F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HealthResolved
2024-03-18F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HealthResolved
2024-03-18F0688Provide 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.HealthResolved
2024-03-18F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HealthResolved
2024-03-18F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.HealthResolved
2024-03-18F0880Provide and implement an infection prevention and control program.HealthResolved
2024-03-18F0908Keep all essential equipment working safely.HealthResolved
2024-01-26F0908Keep all essential equipment working safely.HealthResolved
2024-01-26F0552Ensure that residents are fully informed and understand their health status, care and treatments.HealthResolved
2024-01-26F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.HealthResolved
2024-01-26F0558Reasonably accommodate the needs and preferences of each resident.HealthResolved
2024-01-26F0578Honor 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.HealthResolved
2024-01-26F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.HealthResolved
2024-01-26F0610Respond appropriately to all alleged violations.HealthResolved
2024-01-26F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.HealthResolved
2024-01-26F0625Notify 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.HealthResolved
2024-01-26F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedHealthResolved
2024-01-26F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.HealthResolved
2024-01-26F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.HealthResolved
2024-01-26F0658Ensure services provided by the nursing facility meet professional standards of quality.HealthResolved
2024-01-26F0660Plan the resident's discharge to meet the resident's goals and needs.HealthResolved
2024-01-26F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.HealthResolved
2024-01-26F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HealthResolved
2024-01-26F0685Assist a resident in gaining access to vision and hearing services.HealthResolved
2024-01-26F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HealthResolved
2024-01-26F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.HealthResolved
2024-01-26F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.HealthResolved
2024-01-26F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.HealthResolved
2024-01-26F0697Provide safe, appropriate pain management for a resident who requires such services.HealthResolved
2024-01-26F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.HealthResolved
2024-01-26F0745Provide medically-related social services to help each resident achieve the highest possible quality of life.HealthResolved
2024-01-26F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2024-01-26F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.HealthResolved
2024-01-26F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.HealthResolved
2024-01-26F0758Implement 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.HealthResolved
2024-01-26F0760Ensure that residents are free from significant medication errors.HealthResolved
2024-01-26F0761Ensure 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.HealthResolved
2024-01-26F0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.HealthResolved
2024-01-26F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.HealthResolved
2024-01-26F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.HealthResolved
2024-01-26F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.HealthResolved
2024-01-26F0880Provide and implement an infection prevention and control program.HealthResolved
2024-01-26F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.HealthResolved
2024-01-26F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.HealthResolved
2024-01-26F0791Provide or obtain dental services for each resident.HealthResolved
2024-01-26K0363Install corridor and hallway doors that block smoke.Fire SafetyResolved
2024-01-26K0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.Fire SafetyResolved
2024-01-26K0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Fire SafetyResolved
2024-01-26K0291Install emergency lighting that can last at least 1 1/2 hours.Fire SafetyResolved
2024-01-26K0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Fire SafetyResolved
2024-01-26K0324Provide properly protected cooking facilities.Fire SafetyResolved
2024-01-26K0343Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.Fire SafetyResolved
2024-01-26K0351Install an approved automatic sprinkler system.Fire SafetyResolved
2024-01-26K0353Inspect, test, and maintain automatic sprinkler systems.Fire SafetyResolved
2024-01-26K0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Fire SafetyResolved
2024-01-26K0511Have properly installed electrical wiring and gas equipment.Fire SafetyResolved
2024-01-26K0712Have simulated fire drills held at unexpected times.Fire SafetyResolved
2024-01-26K0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Fire SafetyResolved
2024-01-26K0781Have restrictions on the use of portable space heaters.Fire SafetyResolved
2024-01-26K0912Have power receptacles that are properly grounded.Fire SafetyResolved
2024-01-26K0918Have generator or other power source capable of supplying service within 10 seconds.Fire SafetyResolved
2024-01-26K0920Ensure proper usage of power strips and extension cords.Fire SafetyResolved
2024-01-26K0923Have proper medical gas storage and administration areas.Fire SafetyResolved
2024-01-26K0925Ensure that sources of ignition are removed from patients receiving respiratory therapy.Fire SafetyResolved
2024-01-11F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HealthResolved
2024-01-11F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.HealthResolved
2024-01-11F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2024-01-11F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.HealthResolved
2024-01-11F0850Hire a qualified full-time social worker in a facility with more than 120 beds.HealthResolved
2024-01-11F0880Provide and implement an infection prevention and control program.HealthResolved
2023-11-29F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.HealthResolved
2023-11-29F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.HealthResolved
2023-11-29F0732Post nurse staffing information every day.HealthResolved
2023-11-29F0880Provide and implement an infection prevention and control program.HealthResolved
2023-11-07F0677Provide care and assistance to perform activities of daily living for any resident who is unable.HealthResolved
2023-11-07F0692Provide enough food/fluids to maintain a resident's health.HealthResolved
2023-11-07F0760Ensure that residents are free from significant medication errors.HealthResolved
2023-11-07F0803Ensure 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.HealthResolved
2023-11-07F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.HealthResolved
2023-11-01F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.HealthResolved
2023-11-01F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2023-11-01F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.HealthResolved
2023-10-29F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.HealthResolved
2023-10-29F0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.HealthResolved
2023-10-29F0885Report COVID19 data to residents and families.HealthResolved
2023-10-17F0584Honor 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.HealthResolved
2023-10-17F0585Honor 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.HealthResolved
2023-10-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HealthResolved
2023-09-13F0880Provide and implement an infection prevention and control program.HealthResolved
2023-07-25F0880Provide and implement an infection prevention and control program.HealthResolved
2023-07-17F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.HealthResolved
2023-07-17F0677Provide care and assistance to perform activities of daily living for any resident who is unable.HealthResolved
2023-07-17F0687Provide appropriate foot care.HealthResolved
2023-07-14F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.HealthResolved
2023-07-05F0880Provide and implement an infection prevention and control program.HealthResolved
2023-07-05F0658Ensure services provided by the nursing facility meet professional standards of quality.HealthResolved
2023-07-05F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HealthResolved
2023-06-16F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.HealthResolved
2023-06-16F0659Provide care by qualified persons according to each resident's written plan of care.HealthResolved
2023-06-16F0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.HealthResolved
2023-06-14F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.HealthResolved
2023-04-17F0760Ensure that residents are free from significant medication errors.HealthResolved
2023-04-12F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2023-04-11F0624Prepare residents for a safe transfer or discharge from the nursing home.HealthResolved
2023-02-21F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HealthResolved
2023-02-21F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.HealthResolved
2023-02-01F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.HealthResolved
2023-01-20F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.HealthResolved
2023-01-20F0554Allow residents to self-administer drugs if determined clinically appropriate.HealthResolved
2023-01-20F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.HealthResolved
2023-01-20F0558Reasonably accommodate the needs and preferences of each resident.HealthResolved
2023-01-20F0583Keep residents' personal and medical records private and confidential.HealthResolved
2023-01-20F0584Honor 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.HealthResolved
2023-01-20F0585Honor 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.HealthResolved
2023-01-20F0625Notify 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.HealthResolved
2023-01-20F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.HealthResolved
2023-01-20F0658Ensure services provided by the nursing facility meet professional standards of quality.HealthResolved
2023-01-20F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.HealthResolved
2023-01-20F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.HealthResolved
2023-01-20F0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.HealthResolved
2023-01-20F0692Provide enough food/fluids to maintain a resident's health.HealthResolved
2023-01-20F0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.HealthResolved
2023-01-20F0695Provide safe and appropriate respiratory care for a resident when needed.HealthResolved
2023-01-20F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.HealthResolved
2023-01-20F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.HealthResolved
2023-01-20F0758Implement 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.HealthResolved
2023-01-20F0761Ensure 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.HealthResolved
2023-01-20F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.HealthResolved
2023-01-20F0880Provide and implement an infection prevention and control program.HealthResolved
2023-01-20F0881Implement a program that monitors antibiotic use.HealthResolved
2023-01-20K0111Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.Fire SafetyResolved
2023-01-20K0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Fire SafetyResolved
2023-01-20K0291Install emergency lighting that can last at least 1 1/2 hours.Fire SafetyResolved
2023-01-20K0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Fire SafetyResolved
2023-01-20K0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Fire SafetyResolved
2023-01-20K0331Construct fire resistant interior walls.Fire SafetyResolved
2023-01-20K0351Install an approved automatic sprinkler system.Fire SafetyResolved
2023-01-20K0353Inspect, test, and maintain automatic sprinkler systems.Fire SafetyResolved
2023-01-20K0355Properly select, install, inspect, or maintain portable fire extinguishes.Fire SafetyResolved
2023-01-20K0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Fire SafetyResolved
2023-01-20K0363Install corridor and hallway doors that block smoke.Fire SafetyResolved
2023-01-20K0511Have properly installed electrical wiring and gas equipment.Fire SafetyResolved
2023-01-20K0918Have generator or other power source capable of supplying service within 10 seconds.Fire SafetyResolved
2023-01-20K0920Ensure proper usage of power strips and extension cords.Fire SafetyResolved
2023-01-20K0923Have proper medical gas storage and administration areas.Fire SafetyResolved

Notice Findings (6)

DateTagDescriptionTypeStatus
2025-01-17F0645PASARR screening for Mental disorders or Intellectual DisabilitiesHealthResolved
2024-01-26F0637Assess the resident when there is a significant change in conditionHealthResolved
2024-01-26F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.HealthResolved
2024-01-26F0641Ensure each resident receives an accurate assessment.HealthResolved
2023-09-13F0732Post nurse staffing information every day.HealthResolved
2023-01-20E0030List the names and contact information of those in the facility.Fire SafetyResolved