Woonsocket, RI

Cedar Haven Operations Holding LLC Valley View Hea

1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $150,979 in total fines with 20 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

4 St Joseph Street, Woonsocket, RI

(401) 765-5844

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

185

Certified beds

Average residents

154

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1985-03-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

0.47

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.41

Licensed practical nurse staffing · state 0.51 · national 0.87

Aide hours / resident day

2.17

Nurse aide staffing · state 2.46 · national 2.35

Total nurse hours

3.04

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

0.87

RN + LPN hours · state 1.25 · national 1.54

Weekend hours

2.51

Weekend nurse staffing · state 3.30 · national 3.43

Weekend RN hours

0.36

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.56

CMS adjusted RN staffing hours

Adjusted total hours

3.66

CMS adjusted total nurse staffing hours

Case-mix index

1.14

Higher values indicate more complex resident acuity

RN turnover

59%

Annual RN turnover · state 38% · national 45%

Total nurse turnover

51%

Annual nurse turnover · state 40% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,300

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

Performance score

24.10

Composite VBP score used to determine payment impact.

Payment multiplier

0.9834

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 18.85% · Performance 21.53% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.70

Baseline 6.37% · Performance 7.03% · Measure score 2.70 · Achievement 2.70 · Improvement 0

Total nurse turnover

5.63

Baseline 41.94% · Performance 40.66% · Measure score 5.63 · Achievement 5.63 · Improvement 0.25

Adjusted total nurse staffing

1.30

Baseline 3.29 hours · Performance 3.45 hours · Measure score 1.30 · Achievement 1.30 · Improvement 0.14

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.18%	10.72% 0.5 pts worse	No Different than the National Rate · Eligible stays 37 · Observed rate 13.51% · Lower 95% interval 7.26%
Discharge to community	38.62%	50.57% 12 pts worse	No Different than the National Rate · Eligible stays 36 · Observed rate 19.44% · Lower 95% interval 25.08%
Medicare spending per beneficiary	0.8	1.02 0.2 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 36 · Denominator 36
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 36
Discharge self-care score	47.83%	53.69% 5.9 pts worse	Numerator 11 · Denominator 23
Discharge mobility score	39.13%	50.94% 11.8 pts worse	Numerator 9 · Denominator 23
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 35 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.03%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 27 · Observed rate 7.41% · Lower 95% interval 3.71%
Staff COVID-19 vaccination coverage	5.42%	8.2% 2.8 pts worse	Numerator 9 · Denominator 166
Staff flu vaccination coverage	32.43%	42% 9.6 pts worse	Numerator 60 · Denominator 185
Discharge function score	65.22%	56.45% 8.8 pts better	Numerator 15 · Denominator 23
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 8 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 14 · 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	1.1	1.5 0.4 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.1	1.7 0.4 pts worse	1.8 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.1 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	75.7%	93.2% 17.5 pts worse	93.4% 17.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 62.8% · Q2 63.8% · Q3 86.4% · Q4 89.8% · 4Q avg 75.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	88.8%	95.3% 6.5 pts worse	95.5% 6.7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 88.8%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	3.6% 0.6 pts better	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.3% · Q3 2.6% · Q4 5.4% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.9%	14.6% 12.7 pts better	11.4% 9.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 2.5% · Q3 0.0% · Q4 3.7% · 4Q avg 1.9%
Percentage of long-stay residents who lose too much weight	5.1%	5.3% 0.2 pts better	5.4% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 5.9% · Q3 4.3% · Q4 3.2% · 4Q avg 5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	35.1%	16.4% 18.7 pts worse	19.6% 15.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 36.3% · Q2 37.4% · Q3 31.7% · Q4 34.9% · 4Q avg 35.1%
Percentage of long-stay residents who received an antipsychotic medication	37.5%	23.6% 13.9 pts worse	16.7% 20.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 42.0% · Q2 38.2% · Q3 37.5% · Q4 32.1% · 4Q avg 37.5% · 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	13.7%	17.0% 3.3 pts better	16.3% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 12.5% · Q3 17.9% · Q4 11.3% · 4Q avg 13.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.2%	18.4% 4.2 pts better	14.9% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 18.2% · Q3 16.7% · Q4 9.4% · 4Q avg 14.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.4%	1.0% 0.6 pts better	1.0% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.5% · Q4 0.5% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.3%	2.2% 1.9 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.9%	22.3% 5.4 pts better	19.8% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 22.5% · Q2 15.6% · Q3 12.2% · Q4 17.5% · 4Q avg 16.9%
Percentage of long-stay residents with pressure ulcers	8.3%	4.7% 3.6 pts worse	5.1% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 7.1% · Q3 9.7% · Q4 6.3% · 4Q avg 8.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	52.8%	77.2% 24.4 pts worse	81.7% 28.9 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 38.2% · Q2 40.7% · Q3 51.8% · Q4 87.0% · 4Q avg 52.8%
Percentage of short-stay residents who had an outpatient emergency department visit	15.5%	15.8% 0.3 pts better	12.0% 3.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 15.5% · Observed 20.0% · Expected 14.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.2%	1.9% 0.3 pts worse	1.6% 0.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 10.0% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	55.0%	78.2% 23.2 pts worse	79.7% 24.7 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 55.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.2%	25.1% 2.1 pts worse	23.9% 3.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.2% · Observed 30.0% · Expected 26.3% · Used in QM five-star

Survey summary

Recent inspection cycles

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

20 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

2 fire-safety deficiencies

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

Cycle 2 Health 2024-03-15 · Fire 2024-03-15

18 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Cycle 3 Health 2023-03-01 · Fire 2023-03-01

26 health deficiencies

Top issue: Quality of Life and Care (11 deficiencies)

2 fire-safety deficiencies

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

Fire safety

Fire-safety citations

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

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-04-02

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

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-02

F · Potential for more than minimal harm 2024-03-15

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-04-14

F · Potential for more than minimal harm 2024-03-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-04-14

F · Potential for more than minimal harm 2024-03-15

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-04-14

F · Potential for more than minimal harm 2024-03-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-14

E · Potential for more than minimal harm 2024-03-15

K223 · Egress Deficiencies

Fire Safety

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2024-04-14

D · Potential for more than minimal harm 2024-03-15

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 2024-04-14

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

K342 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-04-13

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

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-04-13

Inspection history

Recent health citations

J · Immediate jeopardy 2025-08-05

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 2025-08-06

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

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-09-21

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

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-09-21

K · Immediate jeopardy 2025-03-03

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 2025-04-02

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

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 2025-04-02

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

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 2025-04-02

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

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-02

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

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-04-02

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

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-02

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

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-02

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

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 2025-04-02

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

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-04-02

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

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-02

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

F940 · Administration Deficiencies

Health

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

Corrected 2025-04-02

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

F606 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Corrected 2025-04-02

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

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-02

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

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-02

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

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 2025-04-02

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

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-04-02

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

F770 · Administration Deficiencies

Health

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

Corrected 2025-04-02

F · Potential for more than minimal harm 2025-01-13

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 2025-02-12

J · Immediate jeopardy 2024-11-20

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 2024-11-29

D · Potential for more than minimal harm 2024-06-24

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 2024-07-15

D · Potential for more than minimal harm 2024-06-24

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 2024-07-15

D · Potential for more than minimal harm 2024-06-24

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-07-15

G · Actual harm 2024-03-15

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-14

G · Actual harm 2024-03-15

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-14

G · Actual harm 2024-03-15

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-14

F · Potential for more than minimal harm 2024-03-15

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 2024-04-14

E · Potential for more than minimal harm 2024-03-15

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 2024-04-14

E · Potential for more than minimal harm 2024-03-15

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-04-14

E · Potential for more than minimal harm 2024-03-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-14

D · Potential for more than minimal harm 2024-03-15

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 2024-04-14

D · Potential for more than minimal harm 2024-03-15

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-04-14

D · Potential for more than minimal harm 2024-03-15

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 2024-04-14

D · Potential for more than minimal harm 2024-03-15

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-04-14

D · Potential for more than minimal harm 2024-03-15

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 2024-04-14

B · Minimal harm 2024-03-15

F582 · Resident Rights Deficiencies

Health

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

Corrected 2024-04-14

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

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 2024-02-20

J · Immediate jeopardy 2023-12-26

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 2024-01-09

D · Potential for more than minimal harm 2023-10-11

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-10

D · Potential for more than minimal harm 2023-08-21

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-20

G · Actual harm 2023-07-27

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 2023-08-19

G · Actual harm 2023-07-20

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 2023-08-19

K · Immediate jeopardy 2023-07-06

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-05

K · Immediate jeopardy 2023-07-06

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 2023-08-05

J · Immediate jeopardy 2023-07-06

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 2023-08-05

J · Immediate jeopardy 2023-07-06

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 2023-08-05

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

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 2023-03-31

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

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2023-03-31

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

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 2023-03-31

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

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-03-31

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

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 2023-03-31

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

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 2023-03-31

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