Nursing homeFAID #990
Mirage Post Acute
★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare
Photo via Google · Mirage Post Acute
Public record summary
What we can show you for free.
Bed capacity
299
CMS facility ID
056039
Care type
Nursing home
County
Los Angeles
Facility name
Mirage Post Acute
Street address
44445 15TH ST W
City / state / ZIP
Lancaster, CA 93534
Phone
(661) 948-7501
Website
About this facility — Mirage Post Acute
Mirage Post Acute is a Medicare/Medicaid-certified skilled nursing facility in Lancaster, California. It is licensed for 299 beds — well above the median for skilled nursing facilities in California (98 beds).
It is one of 87 senior care facilities in Lancaster and 1,165 skilled nursing facilities across California. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Mirage Post Acute 307 times across 68 inspections in the last three years, including 14 food-safety citations, and CMS has imposed $153,991 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Pacs Group
Ownership type
For profit - Partnership
Registered owners & officers
Apt, Frederick
Officer — since 2023
Hancock, Mark
Officer — since 2023
Jack, Spencer
Managing employee · Operational control — since 2023
Mitchell, John
Officer — since 2023
Murray, Jason
Officer — since 2023
Regulatory standing
Federal court records
6 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1969-02-17
CMS overall rating
1 of 5 stars
Health deficiencies
82 at the last standard inspection
Federal fines
$153,991 total
Last standard inspection
2026-04-24
Nurse staffing
4.6 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$495 per day (≈ $15,050/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
7% Medicaid · 8% Medicare · 85% private/other
Occupancy
72% (fiscal year 2023)
Vs. state median
4% below the CA median of $514/day — full state cost breakdown
Services & coverage
Licensed beds
299
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 14 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-01Health inspectionComplaint-triggered7 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-07-16
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-07-16
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-07-16
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-07-16
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-07-16
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-07-16
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-07-16
2026-06-17Health inspectionComplaint-triggered2 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-07-08
F-0849
D · No harm foundFrom a complaint
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.
Corrected 2026-07-08
64 earlier / fire-safety inspections (298 citations)
2026-06-13Health inspectionComplaint-triggered2 citations
F-0584
E · No harm foundFrom a complaint
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 2026-07-02
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-07-02
2026-06-09Health inspectionComplaint-triggered9 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-06-23
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-06-23
F-0628
D · No harm foundFrom a complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-06-23
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2026-06-23
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-06-23
F-0757
D · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2026-06-23
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-06-23
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-06-23
F-0881
D · No harm foundFrom a complaint
Implement a program that monitors antibiotic use.
Corrected 2026-06-23
2026-06-02Health inspectionComplaint-triggered1 citation
F-0627
D · No harm foundFrom a complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected 2026-06-18
2026-05-29Health inspectionComplaint-triggered1 citation
F-0551
D · No harm foundFrom a complaint
Give the resident's representative the ability to exercise the resident's rights.
Corrected 2026-06-12
2026-05-22Health inspectionComplaint-triggered3 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-06-05
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-06-05
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-06-05
2026-04-28Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-05-11
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-05-11
2026-04-24Health inspection23 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2026-05-15
F-0578
E · No harm found
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 2026-05-15
F-0584
D · No harm found
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 2026-05-15
F-0604
E · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2026-05-15
F-0605
D · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-05-15
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-05-15
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-05-15
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-05-15
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2026-05-15
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2026-05-15
F-0688
D · No harm found
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 2026-05-15
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-05-15
F-0690
E · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2026-05-15
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-05-15
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-05-15
F-0700
E · No harm found
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 2026-05-15
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2026-05-15
F-0790
D · No harm found
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2026-05-15
F-0803
E · No harm foundFood safety
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 2026-05-15
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-05-15
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-05-15
F-0881
E · No harm found
Implement a program that monitors antibiotic use.
Corrected 2026-05-15
F-0908
E · No harm found
Keep all essential equipment working safely.
Corrected 2026-05-15
2026-03-06Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-03-16
2026-02-02Health inspectionComplaint-triggered1 citation
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2026-02-04
2026-01-30Health inspectionComplaint-triggered7 citations
F-0605
E · No harm foundFrom a complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2026-03-02
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-03-02
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-03-02
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-03-02
F-0697
E · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2026-03-02
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-03-02
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-03-02
2026-01-20Health inspectionComplaint-triggered2 citations
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-02-19
F-0925
E · No harm foundFrom a complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2026-02-19
2025-12-17Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-24
2025-11-25Health inspectionComplaint-triggered1 citation
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-11-26
2025-11-24Health inspectionComplaint-triggered4 citations
F-0584
D · No harm foundFrom a complaint
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 2025-11-25
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-11-25
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-11-25
F-0880
G · Actual harmFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-11-25
2025-09-05Health inspectionComplaint-triggered5 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-09-26
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-26
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-26
F-0919
D · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-09-26
F-0921
D · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-09-26
2025-08-21Health inspectionComplaint-triggered7 citations
F-0585
D · No harm foundFrom a complaint
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 2025-09-19
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-09-19
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-09-19
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-19
F-0693
D · No harm foundFrom a complaint
Ensure 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.
Corrected 2025-09-19
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-19
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-09-26
2025-08-07Health inspectionComplaint-triggered4 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-03
F-0679
D · No harm foundFrom a complaint
Provide activities to meet all resident's needs.
Corrected 2025-09-03
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-03
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-09-03
2025-07-22Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-28
2025-07-15Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-08-08
2025-07-09Health inspectionComplaint-triggered4 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-07-31
F-0695
E · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-31
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-31
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-07-31
2025-06-05Health inspectionComplaint-triggered2 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-06-23
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-23
2025-05-16Health inspectionComplaint-triggered4 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-08
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-08
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-06-08
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-08
2025-04-03Health inspectionComplaint-triggered6 citations
F-0584
D · No harm foundFrom a complaint
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 2025-04-27
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-27
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-04-27
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-27
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-27
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-04-27
2025-03-28Health inspectionComplaint-triggered4 citations
F-0580
J · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-04-21
F-0600
J · Immediate jeopardyFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-21
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-21
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-21
2025-03-12Health inspectionComplaint-triggered2 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-01
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-04-01
2025-03-11Health inspectionComplaint-triggered3 citations
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-03-13
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-13
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-03-13
2025-03-10Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-30
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-30
2025-02-25Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-28
F-0676
D · No harm foundFrom a complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-02-28
2025-02-07Health inspectionComplaint-triggered1 citation
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-02-28
2025-02-04Health inspectionComplaint-triggered2 citations
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2025-02-05
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-02-05
2025-01-28Health inspectionComplaint-triggered3 citations
F-0585
D · No harm foundFrom a complaint
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 2025-01-30
F-0690
D · No harm foundFrom a complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-01-30
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-01-30
2025-01-22Health inspectionComplaint-triggered3 citations
F-0732
E · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2025-01-25
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-01-25
F-0921
E · No harm foundFrom a complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-01-25
2025-01-17Health inspectionComplaint-triggered26 citations
F-0554
D · No harm found
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-02-05
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-02-05
F-0584
D · No harm found
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 2025-02-05
F-0604
E · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-02-05
F-0645
B · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-02-05
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-02-05
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-05
F-0676
D · No harm found
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2025-02-05
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-05
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-05
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-02-05
F-0693
D · No harm found
Ensure 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.
Corrected 2025-02-05
F-0694
E · No harm foundFrom a complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-02-05
F-0700
E · No harm found
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 2025-02-05
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-02-05
F-0758
E · No harm found
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.
Corrected 2025-02-05
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2025-02-05
F-0761
E · No harm found
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 2025-02-05
F-0802
E · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-02-05
F-0803
E · No harm foundFood safety
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 2025-02-05
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-02-05
F-0805
E · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2025-02-05
F-0808
E · No harm foundFood safety
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 2025-02-05
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-02-05
F-0814
E · No harm foundFood safety
Dispose of garbage and refuse properly.
Corrected 2025-02-05
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-02-05
2025-01-07Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-20
2025-01-06Health inspectionComplaint-triggered4 citations
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-24
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-01-24
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-24
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-01-24
2024-12-19Health inspectionComplaint-triggered4 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-01-09
F-0584
D · No harm foundFrom a complaint
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 2025-01-09
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-09
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-09
2024-12-12Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-28
2024-12-06Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-12-21
2024-11-25Health inspectionComplaint-triggered3 citations
F-0584
D · No harm foundFrom a complaint
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 2024-12-16
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-12-16
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-12-16
2024-11-15Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-12-12
F-0694
D · No harm foundFrom a complaint
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-12-12
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-12-12
2024-11-14Health inspectionComplaint-triggered1 citation
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-11-30
2024-11-13Health inspectionComplaint-triggered5 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-12-02
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-12-02
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-12-02
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-02
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-12-02
2024-10-08Health inspectionComplaint-triggered3 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-10-21
F-0679
D · No harm foundFrom a complaint
Provide activities to meet all resident's needs.
Corrected 2024-10-21
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-21
2024-10-03Health inspectionComplaint-triggered2 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-10-22
F-0693
D · No harm foundFrom a complaint
Ensure 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.
Corrected 2024-10-22
2024-09-28Health inspectionComplaint-triggered12 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-10-18
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-10-18
F-0585
D · No harm foundFrom a complaint
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 2024-10-18
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-10-18
F-0679
D · No harm foundFrom a complaint
Provide activities to meet all resident's needs.
Corrected 2024-10-18
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-18
F-0686
E · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-10-18
F-0693
D · No harm foundFrom a complaint
Ensure 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.
Corrected 2024-10-18
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-10-18
F-0757
D · No harm foundFrom a complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-10-18
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-10-18
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-10-18
2024-09-03Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-09-23
2024-08-08Health inspectionComplaint-triggered2 citations
F-0552
D · No harm foundFrom a complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-08-20
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-08-20
2024-07-11Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-17
2024-05-06Health inspectionComplaint-triggered3 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-05-24
F-0607
D · No harm foundFrom a complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-05-24
F-0728
D · No harm foundFrom a complaint
Ensure 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.
Corrected 2024-05-24
2024-05-01Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-10
F-0758
D · No harm foundFrom a complaint
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.
Corrected 2024-05-10
2024-04-16Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-25
2024-03-18Health inspectionComplaint-triggered9 citations
F-0584
D · No harm foundFrom a complaint
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 2024-04-04
F-0675
E · No harm foundFrom a complaint
Honor each resident's preferences, choices, values and beliefs.
Corrected 2024-04-04
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-04
F-0686
D · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-04
F-0688
D · No harm foundFrom a complaint
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 2024-04-04
F-0689
E · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-04
F-0801
D · No harm foundFood safetyFrom a complaint
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.
Corrected 2024-04-04
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-04-04
F-0908
E · No harm foundFrom a complaint
Keep all essential equipment working safely.
Corrected 2024-04-04
2024-01-26Health inspectionComplaint-triggered41 citations
F-0550
E · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-02-23
F-0552
E · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2024-02-23
F-0553
D · No harm found
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2024-02-23
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-02-23
F-0578
E · No harm found
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 2024-02-23
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-02-23
F-0604
E · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2024-02-23
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2024-02-23
F-0623
D · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-02-23
F-0625
D · No harm found
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.
Corrected 2024-02-23
F-0637
B · No harm found
Assess the resident when there is a significant change in condition
Corrected 2024-02-23
F-0640
B · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-02-23
F-0641
B · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-02-23
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-02-23
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-02-23
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-02-23
F-0658
E · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-23
F-0660
D · No harm found
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2024-02-23
F-0678
D · No harm found
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2024-02-23
F-0684
E · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-23
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2024-02-23
F-0686
D · No harm found
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-23
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-02-23
F-0693
D · No harm found
Ensure 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.
Corrected 2024-02-23
F-0694
E · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2024-02-23
F-0697
E · No harm found
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-02-23
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2024-02-23
F-0745
E · No harm found
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected 2024-02-23
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-02-23
F-0756
E · No harm found
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-02-23
F-0757
E · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-02-23
F-0758
E · No harm found
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.
Corrected 2024-02-23
F-0760
E · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2024-02-23
F-0761
E · No harm found
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 2024-02-23
F-0791
D · No harm foundFrom a complaint
Provide or obtain dental services for each resident.
Corrected 2024-02-23
F-0809
D · No harm foundFood safety
Ensure 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.
Corrected 2024-02-23
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-02-23
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-02-23
F-0849
E · No harm found
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.
Corrected 2024-02-23
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-02-23
F-0908
D · No harm found
Keep all essential equipment working safely.
Corrected 2024-02-23
2024-01-11Health inspectionComplaint-triggered6 citations
F-0684
D · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-02
F-0686
E · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-02-02
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-02-02
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-02-02
F-0850
D · No harm foundFrom a complaint
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected 2024-02-02
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-02-02
2023-11-29Health inspectionComplaint-triggered4 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-12-12
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-12-12
F-0732
D · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2023-12-12
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-12-12
2023-11-07Health inspectionComplaint-triggered5 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-12-02
F-0692
D · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-12-02
F-0760
D · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2023-12-02
F-0803
E · No harm foundFood safetyFrom a complaint
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 2023-12-02
F-0804
E · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-12-02
2023-11-01Health inspectionComplaint-triggered3 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-11-16
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-11-16
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-11-16
2023-10-29Health inspectionComplaint-triggered3 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-11-20
F-0773
D · No harm foundFrom a complaint
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2023-11-20
F-0885
D · No harm foundFrom a complaint
Report COVID19 data to residents and families.
Corrected 2023-11-20
2023-10-17Health inspectionComplaint-triggered2 citations
F-0584
D · No harm foundFrom a complaint
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 2023-11-02
F-0585
D · No harm foundFrom a complaint
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 2023-11-02
2023-10-05Health inspectionComplaint-triggered1 citation
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-17
2023-09-13Health inspectionComplaint-triggered2 citations
F-0732
B · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2023-10-13
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-10-13
2026-04-24Fire-safety inspection6 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2026-04-30
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-04-30
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-04-30
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-04-30
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2026-04-30
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2026-04-30
2025-01-17Fire-safety inspection7 citations
K-0342
D · No harm found
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2025-02-05
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-02-05
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-02-05
K-0363
D · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-02-05
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-02-05
K-0761
E · No harm found
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-02-05
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-02-05
2024-01-26Fire-safety inspection19 citations
K-0111
F · No harm found
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
Corrected 2024-02-29
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2024-02-29
K-0291
E · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-02-29
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-02-29
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-02-29
K-0343
D · No harm found
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.
Corrected 2024-02-29
K-0351
D · No harm found
Install an approved automatic sprinkler system.
Corrected 2024-02-29
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-02-29
K-0362
E · No harm found
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Corrected 2024-02-29
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2024-02-29
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-02-29
K-0712
D · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-02-29
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-02-29
K-0781
D · No harm found
Have restrictions on the use of portable space heaters.
Corrected 2024-02-29
K-0912
E · No harm found
Have power receptacles that are properly grounded.
Corrected 2024-02-29
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-02-29
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-02-29
K-0923
D · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-02-29
K-0925
D · No harm found
Ensure that sources of ignition are removed from patients receiving respiratory therapy.
Corrected 2024-02-29
Federal penalties
2025-07-22Fine$36,377
2025-03-10Fine$99,263
2025-02-07Fine$18,351
Total fines$153,991
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 056039.
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4.1★★★★★221 ratings on Google
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Inspection citations — last 5 years
LockedThe 307 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
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CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
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Google Business Profile
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pacer.uscourts.gov
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