Bryan, OH

Bryan Healthcare And Rehabilitation

1-star overall rating with 2-star inspections with $206,265 in total fines with 8 recent health deficiencies with 11 fire-safety deficiencies in the latest cycle

1104 Wesley Avenue, Bryan, OH

(419) 636-5071

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 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

149

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Certus Healthcare

Operator or chain grouping

Approved since

1991-03-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

11 facilities

Chain averages 2 overall / 2 health / 2 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

0.45

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.11

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.73

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.30

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.56

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

2.99

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.28

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.43

CMS adjusted RN staffing hours

Adjusted total hours

3.15

CMS adjusted total nurse staffing hours

Case-mix index

1.43

Higher values indicate more complex resident acuity

RN turnover

67%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

40%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,330

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

Performance score

30.05

Composite VBP score used to determine payment impact.

Payment multiplier

0.9858

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.87

Baseline 15.92% · Performance 19.17% · Measure score 4.87 · Achievement 4.87 · Improvement 0

Healthcare-associated infections

4.23

Baseline 5.32% · Performance 6.57% · Measure score 4.23 · Achievement 4.23 · Improvement 0

Total nurse turnover

2.92

Baseline 83.06% · Performance 63.16% · Measure score 2.92 · Achievement 0 · Improvement 2.92

Adjusted total nurse staffing

Baseline 3.28 hours · Performance 3.06 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.71%	10.72% About the same	No Different than the National Rate · Eligible stays 96 · Observed rate 11.46% · Lower 95% interval 7.26%
Discharge to community	40.21%	50.57% 10.4 pts worse	Worse than the National Rate · Eligible stays 69 · Observed rate 34.78% · Lower 95% interval 30.89%
Medicare spending per beneficiary	1.01	1.02 About the same
Drug regimen review with follow-up	93.02%	95.27% 2.2 pts worse	Numerator 40 · Denominator 43
Falls with major injury	4.65%	0.77% 3.9 pts worse	Numerator 2 · Denominator 43
Discharge self-care score	44.44%	53.69% 9.2 pts worse	Numerator 12 · Denominator 27
Discharge mobility score	33.33%	50.94% 17.6 pts worse	Numerator 9 · Denominator 27
Pressure ulcers or injuries, new or worsened	18.6%	2.29% 16.3 pts worse	Numerator 8 · Denominator 43 · Adjusted rate 16.1%
Healthcare-associated infections requiring hospitalization	6.57%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 43 · Observed rate 4.65% · Lower 95% interval 2.99%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 107
Staff flu vaccination coverage	30.52%	42% 11.5 pts worse	Numerator 47 · Denominator 154
Discharge function score	59.26%	56.45% 2.8 pts better	Numerator 16 · Denominator 27
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · 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	4.76%	25.2% 20.4 pts worse	Numerator 1 · Denominator 21

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.4	1.8 0.4 pts better	1.9 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.2 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.9	1.8 1.1 pts worse	1.8 1.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.3 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	87.2%	92.4% 5.2 pts worse	93.4% 6.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 90.7% · Q2 81.4% · Q3 88.7% · Q4 87.9% · 4Q avg 87.2%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	78.5%	94.5% 16 pts worse	95.5% 17 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 78.5%
Percentage of long-stay residents experiencing one or more falls with major injury	8.9%	3.3% 5.6 pts worse	3.3% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.7% · Q2 8.6% · Q3 9.9% · Q4 6.1% · 4Q avg 8.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	9.8%	26.1% 16.3 pts better	11.4% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 8.8% · Q3 11.9% · Q4 6.9% · 4Q avg 9.8%
Percentage of long-stay residents who lose too much weight	3.7%	6.2% 2.5 pts better	5.4% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 3.2% · Q3 0.0% · Q4 5.8% · 4Q avg 3.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	33.2%	25.4% 7.8 pts worse	19.6% 13.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 34.4% · Q3 32.8% · Q4 29.6% · 4Q avg 33.2%
Percentage of long-stay residents who received an antipsychotic medication	10.2%	11.5% 1.3 pts better	16.7% 6.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 12.2% · Q3 15.0% · Q4 2.6% · 4Q avg 10.2% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 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	7.0%	7.7% 0.7 pts better	16.3% 9.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.7% · Q2 7.1% · Q3 5.7% · Q4 2.7% · 4Q avg 7.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	3.1%	6.2% 3.1 pts better	14.9% 11.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 3.5% · Q3 0.0% · Q4 5.9% · 4Q avg 3.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	0.2% 0.2 pts worse	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.5% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	0.5% 0.1 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	26.3%	21.7% 4.6 pts worse	19.8% 6.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 33.0% · Q2 25.6% · Q3 23.7% · Q4 22.3% · 4Q avg 26.3%
Percentage of long-stay residents with pressure ulcers	3.5%	3.7% 0.2 pts better	5.1% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 1.6% · Q3 2.8% · Q4 7.1% · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	75.1%	78.1% 3 pts worse	81.7% 6.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 86.5% · Q2 75.0% · Q3 64.3% · Q4 72.7% · 4Q avg 75.1%
Percentage of short-stay residents who had an outpatient emergency department visit	9.2%	12.5% 3.3 pts better	12.0% 2.8 pts better	Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 10.0% · Expected 12.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.0%	1.2% 0.2 pts better	1.6% 0.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	58.9%	75.6% 16.7 pts worse	79.7% 20.8 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 58.9%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	21.0%	25.1% 4.1 pts better	23.9% 2.9 pts better	Short Stay · 20240701-20250630 · Adjusted 21.0% · Observed 20.0% · Expected 22.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-11 · Fire 2025-12-11

8 health deficiencies

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

11 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-03-21 · Fire 2024-03-21

11 health deficiencies

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

9 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Cycle 3 Health 2022-04-11 · Fire 2022-04-11

42 health deficiencies

Top issue: Quality of Life and Care (14 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-11

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2026-01-02

F · Potential for more than minimal harm 2025-12-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-02

F · Potential for more than minimal harm 2025-12-11

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2026-01-02

F · Potential for more than minimal harm 2025-12-11

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-01-02

F · Potential for more than minimal harm 2025-12-11

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 2025-12-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2026-01-02

E · Potential for more than minimal harm 2025-12-11

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 2026-01-02

E · Potential for more than minimal harm 2025-12-11

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 2026-01-02

E · Potential for more than minimal harm 2025-12-11

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-01-02

E · Potential for more than minimal harm 2025-12-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2026-01-02

E · Potential for more than minimal harm 2025-12-11

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 2026-01-02

F · Potential for more than minimal harm 2024-03-21

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-03-29

F · Potential for more than minimal harm 2024-03-21

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 2024-03-29

F · Potential for more than minimal harm 2024-03-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-29

F · Potential for more than minimal harm 2024-03-21

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-03-29

F · Potential for more than minimal harm 2024-03-21

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-03-29

F · Potential for more than minimal harm 2024-03-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-03-29

F · Potential for more than minimal harm 2024-03-21

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 2024-03-29

E · Potential for more than minimal harm 2024-03-21

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2024-03-29

E · Potential for more than minimal harm 2024-03-21

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-03-29

F · Potential for more than minimal harm 2022-04-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-05-24

F · Potential for more than minimal harm 2022-04-11

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-05-24

E · Potential for more than minimal harm 2022-04-11

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-05-24

E · Potential for more than minimal harm 2022-04-11

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2022-05-24

E · Potential for more than minimal harm 2022-04-11

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 2022-05-24

Inspection history

Recent health citations

G · Actual harm 2025-12-11

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 2026-01-02

E · Potential for more than minimal harm 2025-12-11

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 2026-01-02

D · Potential for more than minimal harm 2025-12-11

F635 · Resident Assessment and Care Planning Deficiencies

Health

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-11

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-11

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 2026-01-02

D · Potential for more than minimal harm 2025-12-11

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2026-01-02

D · Potential for more than minimal harm 2025-12-11

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2026-01-02

D · Potential for more than minimal harm 2024-12-09

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 2024-11-12

D · Potential for more than minimal harm 2024-08-29

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-29

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 2024-09-12

D · Potential for more than minimal harm 2024-08-29

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 2024-09-12

F · Potential for more than minimal harm 2024-07-02

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 2024-07-18

D · Potential for more than minimal harm 2024-07-02

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-18

D · Potential for more than minimal harm 2024-07-02

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-07-18

D · Potential for more than minimal harm 2024-05-29

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 2024-05-31

F · Potential for more than minimal harm 2024-03-21

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 2024-03-29

D · Potential for more than minimal harm 2024-03-21

F569 · Resident Rights Deficiencies

Health

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Corrected 2024-03-29

D · Potential for more than minimal harm 2024-03-21

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-29

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

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-03-08

G · Actual harm 2024-01-11

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 2024-03-07

D · Potential for more than minimal harm 2024-01-11

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 2024-03-07

D · Potential for more than minimal harm 2024-01-11

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-01-11

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 2024-03-07

D · Potential for more than minimal harm 2024-01-11

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2024-03-07

D · Potential for more than minimal harm 2024-01-11

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2024-03-07

D · Potential for more than minimal harm 2024-01-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-07

D · Potential for more than minimal harm 2023-11-22

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-11-14

D · Potential for more than minimal harm 2023-11-22

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-22

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-09-27

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 2023-10-13

G · Actual harm 2023-09-01

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-09-01

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2023-10-13

D · Potential for more than minimal harm 2023-09-01

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 2023-10-13

D · Potential for more than minimal harm 2023-09-01

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-10-13

D · Potential for more than minimal harm 2023-09-01

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 2023-10-13

D · Potential for more than minimal harm 2023-09-01

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-10-13

D · Potential for more than minimal harm 2023-07-13

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 2023-07-14

J · Immediate jeopardy 2023-06-12

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 2023-07-14

E · Potential for more than minimal harm 2023-06-12

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 2023-07-14

D · Potential for more than minimal harm 2023-06-12

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-07-14

D · Potential for more than minimal harm 2023-06-12

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 2023-07-14

E · Potential for more than minimal harm 2022-04-11

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 2022-05-24

E · Potential for more than minimal harm 2022-04-11

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 2022-05-24

E · Potential for more than minimal harm 2022-04-11

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 2022-05-24

E · Potential for more than minimal harm 2022-04-11

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 2022-05-24

E · Potential for more than minimal harm 2022-04-11