Inspection Results
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Facility failed to meet the following Requirement(s):Corrected DateLevel of HarmResidents Affected
§483.21(b)(3) Comprehensive Care Plans The services provided or arranged by the facility, as outlined by the comprehensive care plan, must- (i) Meet professional standards of quality. 12/22/2021 No actual Harm with potential for More than minimal harm that is not immediate jeopardyFew
§483.21(b)(3) Comprehensive Care Plans The services provided or arranged by the facility, as outlined by the comprehensive care plan, must- (i) Meet professional standards of quality. 12/22/2021 No actual Harm with potential for More than minimal harm that is not immediate jeopardyFew
§483.21(b)(3) Comprehensive Care Plans The services provided or arranged by the facility, as outlined by the comprehensive care plan, must- (i) Meet professional standards of quality. 12/22/2021 No actual Harm with potential for More than minimal harm that is not immediate jeopardyFew
§ 483.25 Quality of care Quality of care is a fundamental principle that applies to all treatment and care provided to facility residents. Based on the comprehensive assessment of a resident, the facility must ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. 12/22/2021 No actual Harm with potential for More than minimal harm that is not immediate jeopardyFew
§ 483.25 Quality of care Quality of care is a fundamental principle that applies to all treatment and care provided to facility residents. Based on the comprehensive assessment of a resident, the facility must ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. 12/22/2021 No actual Harm with potential for More than minimal harm that is not immediate jeopardyFew
§ 483.25 Quality of care Quality of care is a fundamental principle that applies to all treatment and care provided to facility residents. Based on the comprehensive assessment of a resident, the facility must ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices. 12/22/2021 No actual Harm with potential for More than minimal harm that is not immediate jeopardyFew
§483.25(b) Skin Integrity §483.25(b)(1) Pressure ulcers. Based on the comprehensive assessment of a resident, the facility must ensure that- (i) A resident receives care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable; and (ii) A resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing. 12/22/2021 No actual Harm with potential for More than minimal harm that is not immediate jeopardySome
§483.25(b) Skin Integrity §483.25(b)(1) Pressure ulcers. Based on the comprehensive assessment of a resident, the facility must ensure that- (i) A resident receives care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable; and (ii) A resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing. 12/22/2021 No actual Harm with potential for More than minimal harm that is not immediate jeopardySome
§483.25(b) Skin Integrity §483.25(b)(1) Pressure ulcers. Based on the comprehensive assessment of a resident, the facility must ensure that- (i) A resident receives care, consistent with professional standards of practice, to prevent pressure ulcers and does not develop pressure ulcers unless the individual's clinical condition demonstrates that they were unavoidable; and (ii) A resident with pressure ulcers receives necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing. 12/22/2021 No actual Harm with potential for More than minimal harm that is not immediate jeopardySome
The facility must ensure that its- §483.45(f)(2) Residents are free of any significant medication errors. 12/22/2021 No actual Harm with potential for More than minimal harm that is not immediate jeopardyFew
The facility must ensure that its- §483.45(f)(2) Residents are free of any significant medication errors. 12/22/2021 No actual Harm with potential for More than minimal harm that is not immediate jeopardyFew
The facility must ensure that its- §483.45(f)(2) Residents are free of any significant medication errors. 12/22/2021 No actual Harm with potential for More than minimal harm that is not immediate jeopardyFew
No medication, treatment or diet shall be given without a written order from a person lawfully authorized to prescribe such and the order shall be followed. No restraint shall be applied except as provided in 13 CSR 15-18.010, Resident Rights. I/II 12/22/2021   
Each resident shall receive personal attention and nursing care in accordance with his/her condition and consistent with current acceptable nursing practice. I/II 12/22/2021   
Facilities shall keep residents free from avoidable pressure sores, taking measures toward prevention. If sores exist, staff shall give adequate treatment. I/II 12/22/2021