Des Moines, IA

Azria Health Park Place

1-star overall rating with 1-star inspections with Special Focus status with $22,490 in total fines with 18 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

2401 East Eighth Street, Des Moines, IA

(515) 262-9303

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

1 / 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

Azria Health

Operator or chain grouping

Approved since

1994-01-10

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

9 facilities

Chain averages 1 overall / 2 health / 3 staffing / 2 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

0.66

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.47

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.33

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.46

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.13

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

2.96

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.55

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.18

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.63

CMS adjusted RN staffing hours

Adjusted total hours

3.29

CMS adjusted total nurse staffing hours

Case-mix index

1.44

Higher values indicate more complex resident acuity

RN turnover

82%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

68%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,624

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

Performance score

26.18

Composite VBP score used to determine payment impact.

Payment multiplier

0.9841

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

1.64

Baseline 84.61% · Performance 71.83% · Measure score 1.64 · Achievement 0 · Improvement 1.64

Adjusted total nurse staffing

3.60

Baseline 3.66 hours · Performance 4.10 hours · Measure score 3.60 · Achievement 3.60 · Improvement 1.58

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 9 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 8 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 11 · 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 88
Staff flu vaccination coverage	0%	42% 42 pts worse	Numerator 0 · Denominator 92
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
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 6 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.3	1.5 0.8 pts worse	1.9 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.7 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	2.1 0.3 pts better	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.4 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	69.0%	94.0% 25 pts worse	93.4% 24.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 68.2% · Q2 68.1% · Q3 64.7% · Q4 74.5% · 4Q avg 69.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	57.1%	95.2% 38.1 pts worse	95.5% 38.4 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 57.1%
Percentage of long-stay residents experiencing one or more falls with major injury	4.1%	3.7% 0.4 pts worse	3.3% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 4.3% · Q3 5.9% · Q4 3.6% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.2%	4.0% 1.8 pts better	11.4% 9.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 4.4% · Q4 2.0% · 4Q avg 2.2%
Percentage of long-stay residents who lose too much weight	8.9%	4.9% 4 pts worse	5.4% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 15.6% · Q3 10.6% · Q4 4.2% · 4Q avg 8.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.0%	20.6% 0.6 pts better	19.6% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 20.0% · Q3 21.3% · Q4 20.8% · 4Q avg 20.0%
Percentage of long-stay residents who received an antipsychotic medication	15.3%	19.8% 4.5 pts better	16.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 15.8% · Q3 13.2% · Q4 15.0% · 4Q avg 15.3% · 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	39.1%	18.5% 20.6 pts worse	16.3% 22.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 43.2% · 4Q avg 39.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	24.9%	18.3% 6.6 pts worse	14.9% 10 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 20.0% · Q3 35.6% · Q4 23.3% · 4Q avg 24.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	4.3%	1.7% 2.6 pts worse	1.0% 3.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.2% · Q3 3.0% · Q4 3.9% · 4Q avg 4.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.1%	2.5% 0.6 pts worse	1.7% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 0.0% · Q3 2.0% · Q4 1.8% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	23.6%	26.0% 2.4 pts better	19.8% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 35.2% · Q3 17.7% · Q4 16.4% · 4Q avg 23.6%
Percentage of long-stay residents with pressure ulcers	6.9%	4.3% 2.6 pts worse	5.1% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 9.0% · Q3 2.7% · Q4 7.3% · 4Q avg 6.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	47.3%	84.3% 37 pts worse	81.7% 34.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 47.4% · Q2 43.1% · Q3 46.9% · Q4 52.3% · 4Q avg 47.3%
Percentage of short-stay residents who newly received an antipsychotic medication	2.8%	1.9% 0.9 pts worse	1.6% 1.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	31.4%	73.3% 41.9 pts worse	79.7% 48.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 31.4%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-04 · Fire 2025-12-04

18 health deficiencies

Top issue: Administration (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-11-26 · Fire 2024-11-26

20 health deficiencies

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

12 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 3 Health 2023-11-21 · Fire 2023-11-21

31 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

7 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-04

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2026-01-02

F · Potential for more than minimal harm 2025-12-04

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2026-01-02

F · Potential for more than minimal harm 2025-12-04

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-02

F · Potential for more than minimal harm 2025-12-04

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2026-01-02

F · Potential for more than minimal harm 2025-12-04

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-04

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2026-01-02

F · Potential for more than minimal harm 2024-11-26

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-12-13

F · Potential for more than minimal harm 2024-11-26

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-12-13

F · Potential for more than minimal harm 2024-11-26

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-12-13

F · Potential for more than minimal harm 2024-11-26

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-12-13

F · Potential for more than minimal harm 2024-11-26

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-12-13

F · Potential for more than minimal harm 2024-11-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-12-13

F · Potential for more than minimal harm 2024-11-26

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2024-12-13

F · Potential for more than minimal harm 2024-11-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-12-13

F · Potential for more than minimal harm 2024-11-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-26

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 2024-12-13

D · Potential for more than minimal harm 2024-11-26

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-12-13

D · Potential for more than minimal harm 2024-11-26

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2024-12-13

F · Potential for more than minimal harm 2023-11-21

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-11-21

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-11-21

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-11-21

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-12-15

F · Potential for more than minimal harm 2023-11-21

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-12-15

E · Potential for more than minimal harm 2023-11-21

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-12-15

E · Potential for more than minimal harm 2023-11-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-12-15

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-04

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 2026-01-02

E · Potential for more than minimal harm 2025-12-04

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 2026-01-02

E · Potential for more than minimal harm 2025-12-04

F865 · Administration Deficiencies

Health

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

Corrected 2026-01-02

E · Potential for more than minimal harm 2025-12-04

F883 · Infection Control Deficiencies

Health

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

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-04

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-04

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 2026-01-02

D · Potential for more than minimal harm 2025-12-04

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-04

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-04

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-04

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-04

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2026-01-02

L · Immediate jeopardy 2025-09-11

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 2025-10-03

F · Potential for more than minimal harm 2025-09-11

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 2025-10-03

F · Potential for more than minimal harm 2025-09-11

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 2025-10-03

F · Potential for more than minimal harm 2025-09-11

F835 · Administration Deficiencies

Health

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

Corrected 2025-10-03

F · Potential for more than minimal harm 2025-09-11

F865 · Administration Deficiencies

Health

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

Corrected 2025-10-03

E · Potential for more than minimal harm 2025-09-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-10-03

D · Potential for more than minimal harm 2025-09-11

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 2025-10-03

F · Potential for more than minimal harm 2024-11-26

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 2024-11-27

F · Potential for more than minimal harm 2024-11-26

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 2024-11-27

E · Potential for more than minimal harm 2024-11-26

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 2024-11-27

E · Potential for more than minimal harm 2024-11-26

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 2024-11-27

D · Potential for more than minimal harm 2024-11-26

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-11-26

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-11-26

F646 · Resident Assessment and Care Planning Deficiencies

Health

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Corrected 2024-11-27

D · Potential for more than minimal harm 2024-11-26

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 2024-11-27

D · Potential for more than minimal harm 2024-11-26

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-11-27

G · Actual harm 2024-03-14

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-08

E · Potential for more than minimal harm 2024-03-14

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 2024-04-08

E · Potential for more than minimal harm 2024-03-14

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-04-08

E · Potential for more than minimal harm 2024-03-14

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-04-08

D · Potential for more than minimal harm 2024-03-14

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 2024-04-08

D · Potential for more than minimal harm 2024-03-14

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 2024-04-08

D · Potential for more than minimal harm 2024-03-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-08

D · Potential for more than minimal harm 2024-03-14

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 2024-04-08

D · Potential for more than minimal harm 2024-03-14

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2024-04-08

D · Potential for more than minimal harm 2024-03-14

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 2024-04-08

D · Potential for more than minimal harm 2024-03-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-08

E · Potential for more than minimal harm 2023-11-21

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2023-12-21

E · Potential for more than minimal harm 2023-11-21

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-12-21

E · Potential for more than minimal harm 2023-11-21

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2023-12-21

E · Potential for more than minimal harm 2023-11-21

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 2023-12-21

E · Potential for more than minimal harm 2023-11-21

F801 · Nutrition and Dietary Deficiencies

Health

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 2023-12-21

E · Potential for more than minimal harm 2023-11-21

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 2023-12-21

E · Potential for more than minimal harm 2023-11-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-21

E · Potential for more than minimal harm 2023-11-21

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2023-12-21

E · Potential for more than minimal harm 2023-11-21

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2023-12-21