Auburn, ME

Clover Health Care

1-star overall rating with 1-star inspections with Special Focus status with $15,317 in total fines with 25 recent health deficiencies with 30 fire-safety deficiencies in the latest cycle

440 Minot Ave, Auburn, ME

(207) 784-3573

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

109

Certified beds

Average residents

86

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1990-07-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

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

0.93

Registered nurse staffing · state 1.03 · national 0.68

LPN hours / resident day

0.45

Licensed practical nurse staffing · state 0.47 · national 0.87

Aide hours / resident day

2.53

Nurse aide staffing · state 2.86 · national 2.35

Total nurse hours

3.91

All reported nurse hours · state 4.35 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.49 · national 1.54

Weekend hours

3.43

Weekend nurse staffing · state 3.91 · national 3.43

Weekend RN hours

0.56

Weekend registered nurse coverage · state 0.73 · national 0.47

Physical therapist

0.08

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

1.04

CMS adjusted RN staffing hours

Adjusted total hours

4.37

CMS adjusted total nurse staffing hours

Case-mix index

1.22

Higher values indicate more complex resident acuity

RN turnover

60%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

54%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,324

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

Performance score

33.30

Composite VBP score used to determine payment impact.

Payment multiplier

0.9876

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.96

Baseline 20.16% · Performance 20.06% · Measure score 2.96 · Achievement 2.96 · Improvement 0

Healthcare-associated infections

6.08

Baseline 6.25% · Performance 6.02% · Measure score 6.08 · Achievement 6.08 · Improvement 1.33

Total nurse turnover

0

Baseline 54.81% · Performance 64.03% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

4.28

Baseline 4.38 hours · Performance 4.30 hours · Measure score 4.28 · Achievement 4.28 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.35%
10.72%
1.4 pts better
No Different than the National Rate · Eligible stays 122 · Observed rate 6.56% · Lower 95% interval 6.66%
Discharge to community 44.74%
50.57%
5.8 pts worse
No Different than the National Rate · Eligible stays 114 · Observed rate 40.35% · Lower 95% interval 37.31%
Medicare spending per beneficiary 0.87
1.02
0.2 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 71 · Denominator 71
Falls with major injury 1.41%
0.77%
0.6 pts worse
Numerator 1 · Denominator 71
Discharge self-care score 60.34%
53.69%
6.7 pts better
Numerator 35 · Denominator 58
Discharge mobility score 51.72%
50.94%
0.8 pts better
Numerator 30 · Denominator 58
Pressure ulcers or injuries, new or worsened 5.63%
2.29%
3.3 pts worse
Numerator 4 · Denominator 71 · Adjusted rate 7.03%
Healthcare-associated infections requiring hospitalization 6.02%
7.12%
1.1 pts better
No Different than the National Rate · Eligible stays 72 · Observed rate 2.78% · Lower 95% interval 3.19%
Staff COVID-19 vaccination coverage 10.53%
8.2%
2.3 pts better
Numerator 16 · Denominator 152
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score 58.62%
56.45%
2.2 pts better
Numerator 34 · Denominator 58
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Transfer of health information to patient 90.7%
96.28%
5.6 pts worse
Numerator 39 · Denominator 43
Resident COVID-19 vaccinations up to date 15.79%
25.2%
9.4 pts worse
Numerator 6 · Denominator 38

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.0
1.4
0.4 pts better
1.9
0.9 pts better
Long Stay · 20240701-20250630 · Adjusted 1.0 · Observed 0.8 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.4
2.1
0.7 pts better
1.8
0.4 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.1 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.1%
90.7%
8.4 pts better
93.4%
5.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.5% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.7%
95.5%
2.2 pts better
95.5%
2.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury 0.3%
4.3%
4 pts better
3.3%
3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.2% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.7%
10.7%
8 pts better
11.4%
8.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 3.1% · Q4 8.6% · 4Q avg 2.7%
Percentage of long-stay residents who lose too much weight 6.8%
5.5%
1.3 pts worse
5.4%
1.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 4.1% · Q3 15.1% · Q4 3.5% · 4Q avg 6.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 14.4%
17.0%
2.6 pts better
19.6%
5.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 12.0% · Q3 15.1% · Q4 19.0% · 4Q avg 14.4%
Percentage of long-stay residents who received an antipsychotic medication 14.5%
21.0%
6.5 pts better
16.7%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 16.3% · Q3 15.2% · Q4 10.9% · 4Q avg 14.5% · 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 25.7%
29.6%
3.9 pts better
16.3%
9.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 36.2% · Q2 24.2% · Q3 23.4% · Q4 20.3% · 4Q avg 25.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 25.1%
25.7%
0.6 pts better
14.9%
10.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 27.9% · Q2 33.3% · Q3 17.6% · Q4 22.6% · 4Q avg 25.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
1.3%
0.3 pts better
1.0%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.9% · Q3 1.0% · Q4 2.1% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
2.7%
2.7 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 32.1%
29.8%
2.3 pts worse
19.8%
12.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 36.2% · Q2 34.2% · Q3 20.5% · Q4 37.1% · 4Q avg 32.1%
Percentage of long-stay residents with pressure ulcers 5.1%
4.4%
0.7 pts worse
5.1%
About the same
Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 6.1% · Q3 2.2% · Q4 2.1% · 4Q avg 5.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 70.5%
71.2%
0.7 pts worse
81.7%
11.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 66.7% · Q2 61.0% · Q3 70.4% · Q4 86.9% · 4Q avg 70.5%
Percentage of short-stay residents who had an outpatient emergency department visit 16.1%
15.6%
0.5 pts worse
12.0%
4.1 pts worse
Short Stay · 20240701-20250630 · Adjusted 16.1% · Observed 13.7% · Expected 9.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 2.8%
1.4%
1.4 pts worse
1.6%
1.2 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.6% · Q3 1.6% · 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 73.8%
74.5%
0.7 pts worse
79.7%
5.9 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 73.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.9%
20.5%
1.4 pts worse
23.9%
2 pts better
Short Stay · 20240701-20250630 · Adjusted 21.9% · Observed 17.8% · Expected 19.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-09 · Fire 2025-05-09

25 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

30 fire-safety deficiencies

Top issue: Emergency Preparedness (9 deficiencies)

Cycle 2 Health 2024-02-09 · Fire 2024-02-09

25 health deficiencies

Top issue: Resident Rights (8 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (3 deficiencies)

Cycle 3 Health 2022-02-09 · Fire 2022-02-09

3 health deficiencies

Top issue: Nursing and Physician Services (1 deficiency)

18 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-09

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2025-06-16

F · Potential for more than minimal harm 2025-05-09

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2025-06-16

F · Potential for more than minimal harm 2025-05-09

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2025-06-16

F · Potential for more than minimal harm 2025-05-09

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-06-16

F · Potential for more than minimal harm 2025-05-09

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2025-06-16

F · Potential for more than minimal harm 2025-05-09

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-06-16

F · Potential for more than minimal harm 2025-05-09

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-06-16

F · Potential for more than minimal harm 2025-05-09

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2025-06-16

E · Potential for more than minimal harm 2025-05-09

K753 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of highly flammable decorations.

Corrected 2025-06-16

E · Potential for more than minimal harm 2025-05-09

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2025-06-16

E · Potential for more than minimal harm 2025-05-09

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K163 · Construction Deficiencies

Fire Safety

Install noncombustible or limited-combustible interior walls.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

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 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

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 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

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 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-06-16

D · Potential for more than minimal harm 2025-05-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-06-16

F · Potential for more than minimal harm 2024-02-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-03-26

E · Potential for more than minimal harm 2024-02-09

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-03-26

D · Potential for more than minimal harm 2024-02-09

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 2024-03-26

D · Potential for more than minimal harm 2024-02-09

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2024-03-26

F · Potential for more than minimal harm 2022-02-09

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2022-03-29

F · Potential for more than minimal harm 2022-02-09

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2022-03-29

F · Potential for more than minimal harm 2022-02-09

K342 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-03-29

F · Potential for more than minimal harm 2022-02-09

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-03-29

E · Potential for more than minimal harm 2022-02-09

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-03-29

D · Potential for more than minimal harm 2022-02-09

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2022-03-29

D · Potential for more than minimal harm 2022-02-09

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 2022-03-29

D · Potential for more than minimal harm 2022-02-09

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2022-03-29

D · Potential for more than minimal harm 2022-02-09

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-03-29

D · Potential for more than minimal harm 2022-02-09

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2022-03-29

D · Potential for more than minimal harm 2022-02-09

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2022-03-29

D · Potential for more than minimal harm 2022-02-09

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-03-29

D · Potential for more than minimal harm 2022-02-09

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-03-29

D · Potential for more than minimal harm 2022-02-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-03-29

C · Minimal harm 2022-02-09

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-03-29

C · Minimal harm 2022-02-09

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2022-03-29

C · Minimal harm 2022-02-09

E23 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for medical documentation.

Corrected 2022-03-29

C · Minimal harm 2022-02-09

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2022-03-29

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-11-24

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 2026-01-17

E · Potential for more than minimal harm 2025-11-24

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 2026-01-17

D · Potential for more than minimal harm 2025-11-24

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2026-01-17

J · Immediate jeopardy 2025-08-13

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 2025-09-02

E · Potential for more than minimal harm 2025-08-13

F949 · Administration Deficiencies

Health

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Corrected 2025-09-02

D · Potential for more than minimal harm 2025-08-13

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-09-02

K · Immediate jeopardy 2025-05-09

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 2025-06-11

E · Potential for more than minimal harm 2025-05-09

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-06-11

E · Potential for more than minimal harm 2025-05-09

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 2025-06-11

E · Potential for more than minimal harm 2025-05-09

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 2025-06-11

E · Potential for more than minimal harm 2025-05-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-21

E · Potential for more than minimal harm 2025-05-09

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2025-06-11

E · Potential for more than minimal harm 2025-05-09

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 2025-07-21

E · Potential for more than minimal harm 2025-05-09

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 2025-06-11

E · Potential for more than minimal harm 2025-05-09

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2025-07-21

E · Potential for more than minimal harm 2025-05-09

F944 · Administration Deficiencies

Health

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-05-09

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-05-09

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-05-09

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-05-09

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 2025-06-11

D · Potential for more than minimal harm 2025-05-09

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-05-09

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-05-09

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 2025-06-11

D · Potential for more than minimal harm 2025-05-09

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-06-11

D · Potential for more than minimal harm 2025-05-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-06-11

E · Potential for more than minimal harm 2025-01-22

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 2025-03-08

E · Potential for more than minimal harm 2025-01-22

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 2025-03-08

E · Potential for more than minimal harm 2025-01-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-01-22

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-03-08

D · Potential for more than minimal harm 2025-01-22

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 2025-03-08

D · Potential for more than minimal harm 2025-01-22

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 2025-03-08

E · Potential for more than minimal harm 2024-02-09

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 2024-03-25

E · Potential for more than minimal harm 2024-02-09

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-25

E · Potential for more than minimal harm 2024-02-09

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 2024-03-25

E · Potential for more than minimal harm 2024-02-09

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 2024-03-25

E · Potential for more than minimal harm 2024-02-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-09

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 2024-03-25

D · Potential for more than minimal harm 2024-02-09

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-09

F582 · Resident Rights Deficiencies

Health

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

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-09

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-09

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-09

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 2024-03-25

D · Potential for more than minimal harm 2024-02-09

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 2024-03-25

D · Potential for more than minimal harm 2024-02-09

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 2024-03-25

D · Potential for more than minimal harm 2024-02-09

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 2024-03-25

D · Potential for more than minimal harm 2024-02-09

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-02-09

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 2024-03-25

D · Potential for more than minimal harm 2024-02-09

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 2024-03-25

D · Potential for more than minimal harm 2024-02-09

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 2024-03-25

B · Minimal harm 2024-02-09

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-03-25

D · Potential for more than minimal harm 2022-02-09

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 2022-03-26

D · Potential for more than minimal harm 2022-02-09

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 2022-03-26

B · Minimal harm 2022-02-09

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 2022-03-26

Penalties and ownership

What sits behind the stars

$15,317 2025-05-09

Fine

Fine · fine $15,317

Fine

$0 2025-05-09

Payment Denial

Payment Denial · denial start 2025-06-12 · 82 days

82 day denial

$0 2024-03-26

Payment Denial

Payment Denial · denial start 2024-06-26 · 7 days

7 day denial

Ownership

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