Wildwood, MO

Aegis Health And Rehabilitation

1-star overall rating with 1-star inspections with $275,739 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

1441 Charic Drive, Wildwood, MO

(636) 394-2522

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Vertical Health Services

Operator or chain grouping

Approved since

1993-06-05

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

18 facilities

Chain averages 2 overall / 2 health / 1 staffing / 4 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

0.36

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.74

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

1.78

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

2.88

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.10

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.64

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.29

CMS adjusted RN staffing hours

Adjusted total hours

2.33

CMS adjusted total nurse staffing hours

Case-mix index

1.69

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,704

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

Performance score

22.77

Composite VBP score used to determine payment impact.

Payment multiplier

0.9830

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

4.55

Baseline 91.43% · Performance 57.78% · Measure score 4.55 · Achievement 1.44 · Improvement 4.55

Adjusted total nurse staffing

Baseline 4.37 hours · Performance 2.70 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.8%	10.72% 1.1 pts worse	No Different than the National Rate · Eligible stays 67 · Observed rate 19.4% · Lower 95% interval 8.23%
Discharge to community	46.01%	50.57% 4.6 pts worse	No Different than the National Rate · Eligible stays 77 · Observed rate 32.47% · Lower 95% interval 33.62%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	78.57%	95.27% 16.7 pts worse	Numerator 22 · Denominator 28
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 28
Discharge self-care score	10%	53.69% 43.7 pts worse	Numerator 2 · Denominator 20
Discharge mobility score	10%	50.94% 40.9 pts worse	Numerator 2 · Denominator 20
Pressure ulcers or injuries, new or worsened	3.57%	2.29% 1.3 pts worse	Numerator 1 · Denominator 28 · Adjusted rate 2.98%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 62
Staff flu vaccination coverage	9.91%	42% 32.1 pts worse	Numerator 11 · Denominator 111
Discharge function score	10%	56.45% 46.5 pts worse	Numerator 2 · Denominator 20
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	78.5%	84.8% 6.3 pts worse	93.4% 14.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 60.0% · Q2 76.1% · Q3 73.6% · Q4 98.2% · 4Q avg 78.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	79.2%	90.9% 11.7 pts worse	95.5% 16.3 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 79.2%
Percentage of long-stay residents experiencing one or more falls with major injury	1.0%	4.1% 3.1 pts better	3.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.2% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	79.3%	14.7% 64.6 pts worse	11.4% 67.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 74.3% · Q2 75.6% · Q3 81.6% · Q4 83.7% · 4Q avg 79.3%
Percentage of long-stay residents who lose too much weight	0.6%	5.5% 4.9 pts better	5.4% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	22.5%	25.3% 2.8 pts better	19.6% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.3% · Q2 23.8% · Q3 21.7% · Q4 20.8% · 4Q avg 22.5%
Percentage of long-stay residents who received an antipsychotic medication	18.3%	25.0% 6.7 pts better	16.7% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 15.6% · Q3 21.9% · Q4 14.3% · 4Q avg 18.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	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	1.9%	20.3% 18.4 pts better	16.3% 14.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.6% · Q4 4.2% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	2.4%	19.8% 17.4 pts better	14.9% 12.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 0.0% · Q3 2.2% · Q4 2.1% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.4% 1.4 pts better	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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	2.6% 2.6 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	11.6%	18.1% 6.5 pts better	19.8% 8.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.0% · Q2 2.5% · Q3 15.6% · Q4 11.3% · 4Q avg 11.6%
Percentage of long-stay residents with pressure ulcers	7.1%	5.0% 2.1 pts worse	5.1% 2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 5.1% · Q3 5.4% · Q4 8.9% · 4Q avg 7.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	35.2%	66.4% 31.2 pts worse	81.7% 46.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 36.7% · Q3 40.0% · Q4 57.1% · 4Q avg 35.2%
Percentage of short-stay residents who had an outpatient emergency department visit	8.8%	13.4% 4.6 pts better	12.0% 3.2 pts better	Short Stay · 20240701-20250630 · Adjusted 8.8% · Observed 11.5% · Expected 14.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	2.2% 2.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	39.2%	63.5% 24.3 pts worse	79.7% 40.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 39.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.7%	25.3% 1.6 pts better	23.9% 0.2 pts better	Short Stay · 20240701-20250630 · Adjusted 23.7% · Observed 34.6% · Expected 34.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-30 · Fire 2025-05-30

8 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 2 Health 2024-04-09 · Fire 2024-04-09

19 health deficiencies

Top issue: Pharmacy Service (5 deficiencies)

1 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2022-08-05 · Fire 2022-08-05

42 health deficiencies

Top issue: Resident Rights (13 deficiencies)

8 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-05-30

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-06-25

E · Potential for more than minimal harm 2025-05-30

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-06-25

E · Potential for more than minimal harm 2024-04-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-05-09

F · Potential for more than minimal harm 2023-12-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-12

F · Potential for more than minimal harm 2023-12-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-02-29

F · Potential for more than minimal harm 2022-08-05

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2022-09-12

F · Potential for more than minimal harm 2022-08-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-09-12

F · Potential for more than minimal harm 2022-08-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-03-05

E · Potential for more than minimal harm 2022-08-05

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-09-12

E · Potential for more than minimal harm 2022-08-05

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 2022-09-12

E · Potential for more than minimal harm 2022-08-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-09-12

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-16

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-11-18

E · Potential for more than minimal harm 2025-05-30

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-06-25

E · Potential for more than minimal harm 2025-05-30

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-06-25

E · Potential for more than minimal harm 2025-05-30

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 2025-06-25

E · Potential for more than minimal harm 2025-05-30

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 2025-07-17

E · Potential for more than minimal harm 2025-05-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-25

E · Potential for more than minimal harm 2025-05-30

F883 · Infection Control Deficiencies

Health

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

Corrected 2025-06-25

D · Potential for more than minimal harm 2025-05-30

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 2025-06-25

E · Potential for more than minimal harm 2024-05-21

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-06-06

E · Potential for more than minimal harm 2024-04-09

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 2024-05-09

E · Potential for more than minimal harm 2024-04-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-06

E · Potential for more than minimal harm 2024-04-09

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2024-05-09

E · Potential for more than minimal harm 2024-04-09

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 2024-06-25

E · Potential for more than minimal harm 2024-04-09

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-06-06

E · Potential for more than minimal harm 2024-04-09

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-06-06

E · Potential for more than minimal harm 2024-04-09

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2024-05-09

E · Potential for more than minimal harm 2024-04-09

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 2024-06-06

E · Potential for more than minimal harm 2024-04-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-09

E · Potential for more than minimal harm 2024-04-09

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-05-09

D · Potential for more than minimal harm 2024-04-09

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2024-05-09

D · Potential for more than minimal harm 2024-04-09

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-05-09

D · Potential for more than minimal harm 2024-04-09

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 2024-05-09

D · Potential for more than minimal harm 2024-04-09

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-09

D · Potential for more than minimal harm 2024-04-09

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-05-09

D · Potential for more than minimal harm 2024-04-09

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-05-09

D · Potential for more than minimal harm 2024-04-09

F776 · Administration Deficiencies

Health

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Corrected 2024-05-09

D · Potential for more than minimal harm 2024-04-09

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 2024-05-09

L · Immediate jeopardy 2023-12-11

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-01-12

K · Immediate jeopardy 2023-12-11

F678 · Quality of Life and Care Deficiencies

Health

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 2024-01-12

J · Immediate jeopardy 2023-12-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-12

H · Actual harm 2023-12-11

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-12

G · Actual harm 2023-12-11

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-12

F · Potential for more than minimal harm 2023-12-11

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-01-12

F · Potential for more than minimal harm 2023-12-11

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 2024-01-12

F · Potential for more than minimal harm 2023-12-11

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-01-12

E · Potential for more than minimal harm 2023-12-11

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 2024-01-12

E · Potential for more than minimal harm 2023-12-11

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 2024-01-29

E · Potential for more than minimal harm 2023-12-11

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2024-01-12

E · Potential for more than minimal harm 2023-12-11

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2024-01-12

E · Potential for more than minimal harm 2023-12-11

F803 · Nutrition and Dietary Deficiencies

Health

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 2024-01-12

E · Potential for more than minimal harm 2023-12-11

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-01-12

D · Potential for more than minimal harm 2023-12-11

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 2024-01-12

D · Potential for more than minimal harm 2023-12-11

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 2024-01-29

D · Potential for more than minimal harm 2023-06-08

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 2023-07-18

D · Potential for more than minimal harm 2023-06-08

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-18

D · Potential for more than minimal harm 2023-03-01

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2023-03-14

F · Potential for more than minimal harm 2022-08-05

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 2022-09-12

E · Potential for more than minimal harm 2022-08-05

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2022-09-12

E · Potential for more than minimal harm 2022-08-05

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2022-09-12

E · Potential for more than minimal harm 2022-08-05

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 2022-09-12

E · Potential for more than minimal harm 2022-08-05

F625 · Resident Rights Deficiencies

Health

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 2022-09-12

E · Potential for more than minimal harm 2022-08-05

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-09-12

E · Potential for more than minimal harm 2022-08-05

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 2022-09-12

E · Potential for more than minimal harm 2022-08-05

F758 · Pharmacy Service Deficiencies

Health

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 2022-09-12

E · Potential for more than minimal harm 2022-08-05