Glenside, PA

Accela Rehab And Care Center At Springfield

1-star overall rating with 1-star inspections with abuse icon flag with $69,735 in total fines with 42 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

850 Papermill Road, Glenside, PA

(215) 233-0920

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

129

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Accela Healthcare

Operator or chain grouping

Approved since

1982-06-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

4 facilities

Chain averages 3 overall / 3 health / 2 staffing / 3 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.33

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

1.06

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

2.18

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.57

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.39

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.32

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.27

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.40

CMS adjusted RN staffing hours

Adjusted total hours

4.27

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

71%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

77%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

12,766

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

10.61

Composite VBP score used to determine payment impact.

Payment multiplier

0.9809

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.23% · Performance 22.62% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.44% · Performance 7.81% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Performance 82.07% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

4.25

Baseline 4.04 hours · Performance 4.29 hours · Measure score 4.25 · Achievement 4.25 · Improvement 0.91

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.24%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 67 · Observed rate 8.96% · Lower 95% interval 6.91%
Discharge to community	42.22%	50.57% 8.4 pts worse	No Different than the National Rate · Eligible stays 50 · Observed rate 32% · Lower 95% interval 30.79%
Medicare spending per beneficiary	1.04	1.02 About the same
Drug regimen review with follow-up	98.08%	95.27% 2.8 pts better	Numerator 51 · Denominator 52
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 52
Discharge self-care score	52.63%	53.69% 1.1 pts worse	Numerator 20 · Denominator 38
Discharge mobility score	57.89%	50.94% 7 pts better	Numerator 22 · Denominator 38
Pressure ulcers or injuries, new or worsened	3.85%	2.29% 1.6 pts worse	Numerator 2 · Denominator 52 · Adjusted rate 3.82%
Healthcare-associated infections requiring hospitalization	7.81%	7.12% 0.7 pts worse	No Different than the National Rate · Eligible stays 39 · Observed rate 10.26% · Lower 95% interval 4.45%
Staff COVID-19 vaccination coverage	16.67%	8.2% 8.5 pts better	Numerator 16 · Denominator 96
Staff flu vaccination coverage	55.56%	42% 13.6 pts better	Numerator 40 · Denominator 72
Discharge function score	65.79%	56.45% 9.3 pts better	Numerator 25 · Denominator 38
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	11.54%	25.2% 13.7 pts worse	Numerator 3 · Denominator 26

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	1.7 About the same	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.8 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.8	1.2 0.4 pts better	1.8 1 pts better	Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	50.5%	86.9% 36.4 pts worse	93.4% 42.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 46.6% · Q2 54.3% · Q3 51.6% · Q4 49.5% · 4Q avg 50.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	50.5%	93.5% 43 pts worse	95.5% 45 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 50.5%
Percentage of long-stay residents experiencing one or more falls with major injury	4.0%	3.2% 0.8 pts worse	3.3% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 4.3% · Q3 4.2% · Q4 5.2% · 4Q avg 4.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	12.7%	6.5% 6.2 pts worse	11.4% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.0% · Q2 8.2% · Q3 15.1% · Q4 17.8% · 4Q avg 12.7%
Percentage of long-stay residents who lose too much weight	8.4%	6.5% 1.9 pts worse	5.4% 3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.8% · Q2 6.0% · Q3 10.3% · Q4 5.6% · 4Q avg 8.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.2%	19.9% 5.3 pts worse	19.6% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.8% · Q2 26.1% · Q3 26.1% · Q4 24.7% · 4Q avg 25.2%
Percentage of long-stay residents who received an antipsychotic medication	16.1%	18.7% 2.6 pts better	16.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 17.2% · Q3 20.8% · Q4 15.1% · 4Q avg 16.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	18.2%	19.6% 1.4 pts better	16.3% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.1% · Q2 16.0% · Q3 16.8% · Q4 15.7% · 4Q avg 18.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	21.4%	18.3% 3.1 pts worse	14.9% 6.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.4% · Q2 23.5% · Q3 18.2% · Q4 21.7% · 4Q avg 21.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.9% 0.6 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.0%	1.7% 0.3 pts worse	1.7% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 3.4% · Q3 2.2% · Q4 1.1% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	32.9%	26.4% 6.5 pts worse	19.8% 13.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 31.8% · Q2 30.0% · Q3 28.0% · Q4 41.0% · 4Q avg 32.9%
Percentage of long-stay residents with pressure ulcers	3.4%	5.3% 1.9 pts better	5.1% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 5.4% · Q3 1.2% · Q4 2.5% · 4Q avg 3.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	11.2%	68.9% 57.7 pts worse	81.7% 70.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 6.8% · Q3 16.4% · Q4 17.6% · 4Q avg 11.2%
Percentage of short-stay residents who had an outpatient emergency department visit	20.3%	9.8% 10.5 pts worse	12.0% 8.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 21.4% · Expected 11.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.0%	1.5% 0.5 pts worse	1.6% 0.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q2 3.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	18.9%	68.7% 49.8 pts worse	79.7% 60.8 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 18.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.0%	23.1% 4.1 pts better	23.9% 4.9 pts better	Short Stay · 20240701-20250630 · Adjusted 19.0% · Observed 21.4% · Expected 26.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-06 · Fire 2025-03-06

42 health deficiencies

Top issue: Quality of Life and Care (13 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-05-13 · Fire 2024-05-13

48 health deficiencies

Top issue: Resident Rights (10 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-06-23 · Fire 2023-06-23

29 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-06

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2025-04-29

E · Potential for more than minimal harm 2025-03-06

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-04-29

E · Potential for more than minimal harm 2025-03-06

K342 · Smoke Deficiencies

Fire Safety

Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

Corrected 2025-04-20

E · Potential for more than minimal harm 2025-03-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-29

E · Potential for more than minimal harm 2025-03-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-29

C · Minimal harm 2025-03-06

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2025-04-20

C · Minimal harm 2025-03-06

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2025-04-20

F · Potential for more than minimal harm 2024-05-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-07-04

E · Potential for more than minimal harm 2024-05-13

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2024-07-04

E · Potential for more than minimal harm 2024-05-13

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-07-04

E · Potential for more than minimal harm 2024-05-13

K347 · Smoke Deficiencies

Fire Safety

Properly provide smoke detection systems in areas open to corridors.

Corrected 2024-07-04

E · Potential for more than minimal harm 2024-05-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-04

E · Potential for more than minimal harm 2024-05-13

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-07-04

E · Potential for more than minimal harm 2024-05-13

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-07-04

E · Potential for more than minimal harm 2024-05-13

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-07-04

E · Potential for more than minimal harm 2024-05-13

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-04

C · Minimal harm 2024-05-13

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-07-04

F · Potential for more than minimal harm 2023-06-23

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-09-26

F · Potential for more than minimal harm 2023-06-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-06-23

K311 · Smoke Deficiencies

Fire Safety

Have an enclosure around a vertical opening shaft.

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-06-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-06-23

K325 · Smoke Deficiencies

Fire Safety

Have properly installed hallway dispensers for alcohol-based hand rub.

Corrected 2023-09-26

E · Potential for more than minimal harm 2023-06-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-09-26

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-08-14

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-09-30

E · Potential for more than minimal harm 2025-08-14

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-09-30

D · Potential for more than minimal harm 2025-07-21

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-08-06

D · Potential for more than minimal harm 2025-07-21

F741 · Quality of Life and Care Deficiencies

Health

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Corrected 2025-08-06

D · Potential for more than minimal harm 2025-07-21

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2025-08-06

D · Potential for more than minimal harm 2025-06-23

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-06-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-06-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-07-31

E · Potential for more than minimal harm 2025-05-28

F584 · Resident Rights Deficiencies

Health

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 2025-07-23

D · Potential for more than minimal harm 2025-05-28

F627 · Resident Rights Deficiencies

Health

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2025-07-23

D · Potential for more than minimal harm 2025-05-28

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-07-23

D · Potential for more than minimal harm 2025-05-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-23

D · Potential for more than minimal harm 2025-05-28

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-07-23

E · Potential for more than minimal harm 2025-05-08

F809 · Nutrition and Dietary Deficiencies

Health

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 2025-07-07

D · Potential for more than minimal harm 2025-05-08

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-07-07

D · Potential for more than minimal harm 2025-05-08

F584 · Resident Rights Deficiencies

Health

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 2025-07-07

D · Potential for more than minimal harm 2025-05-08

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-07-07

D · Potential for more than minimal harm 2025-05-08

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-07-07

E · Potential for more than minimal harm 2025-04-07

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-27

F557 · Resident Rights Deficiencies

Health

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-27

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2025-04-20

F · Potential for more than minimal harm 2025-03-06

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-04-20

E · Potential for more than minimal harm 2025-03-06

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-04-20

E · Potential for more than minimal harm 2025-03-06

F585 · Resident Rights Deficiencies

Health

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 2025-04-20

E · Potential for more than minimal harm 2025-03-06

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-20

E · Potential for more than minimal harm 2025-03-06

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2025-04-20

E · Potential for more than minimal harm 2025-03-06

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F690 · Quality of Life and Care Deficiencies

Health

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 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F761 · Pharmacy Service Deficiencies

Health

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 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2025-04-20

D · Potential for more than minimal harm 2025-03-06

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2025-04-20

E · Potential for more than minimal harm 2025-01-30

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-03-18

E · Potential for more than minimal harm 2025-01-30

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2025-03-18

D · Potential for more than minimal harm 2025-01-30

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-03-18

D · Potential for more than minimal harm 2025-01-30

F840 · Administration Deficiencies

Health

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Corrected 2025-03-18

E · Potential for more than minimal harm 2025-01-21

F584 · Resident Rights Deficiencies

Health

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 2025-02-28

B · Minimal harm 2024-09-24

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-08-12

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-08-02

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-09-02

D · Potential for more than minimal harm 2024-08-02

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-09-02

D · Potential for more than minimal harm 2024-07-16

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-08-02

E · Potential for more than minimal harm 2024-06-06

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-06-07

J · Immediate jeopardy 2024-05-13

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-05-31

J · Immediate jeopardy 2024-05-13

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-05-31

F · Potential for more than minimal harm 2024-05-13

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-05-13

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-05-13

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-05-13

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-05-13

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-06-07

F · Potential for more than minimal harm 2024-05-13

F940 · Administration Deficiencies

Health

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-13

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-13

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-13

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-05-13