Toledo, OH

Continuing Healthcare Of Toledo

2-star overall rating with 1-star inspections with $21,598 in total fines with 19 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle

4420 South Avenue, Toledo, OH

(419) 531-4201

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 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

Divine Healthcare Management

Operator or chain grouping

Approved since

1980-05-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

9 facilities

Chain averages 2 overall / 2 health / 2 staffing / 5 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

0.35

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.23

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

1.82

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.41

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.59

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.04

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.24

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.29

CMS adjusted RN staffing hours

Adjusted total hours

2.80

CMS adjusted total nurse staffing hours

Case-mix index

1.66

Higher values indicate more complex resident acuity

RN turnover

78%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

42%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

3,057

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

Performance score

46.22

Composite VBP score used to determine payment impact.

Payment multiplier

0.9996

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

8.40

Baseline 67.69% · Performance 29.54% · Measure score 8.40 · Achievement 8.35 · Improvement 8.40

Adjusted total nurse staffing

0.84

Baseline 2.80 hours · Performance 3.20 hours · Measure score 0.84 · Achievement 0 · Improvement 0.84

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 16 · 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 11 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 11 · 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 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	6.19%	8.2% 2 pts worse	Numerator 6 · Denominator 97
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.1%	92.4% 6.7 pts better	93.4% 5.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.4% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	87.7%	94.5% 6.8 pts worse	95.5% 7.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 87.7%
Percentage of long-stay residents experiencing one or more falls with major injury	2.3%	3.3% 1 pts better	3.3% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 3.7% · Q3 1.9% · Q4 1.8% · 4Q avg 2.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	79.5%	26.1% 53.4 pts worse	11.4% 68.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 38.8% · Q2 87.2% · Q3 95.6% · Q4 98.0% · 4Q avg 79.5%
Percentage of long-stay residents who lose too much weight	12.5%	6.2% 6.3 pts worse	5.4% 7.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 3.9% · Q2 8.0% · Q3 28.3% · Q4 11.3% · 4Q avg 12.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	18.3%	25.4% 7.1 pts better	19.6% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.2% · Q2 18.0% · Q3 19.1% · Q4 17.0% · 4Q avg 18.3%
Percentage of long-stay residents who received an antipsychotic medication	14.3%	11.5% 2.8 pts worse	16.7% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 15.2% · Q3 16.1% · Q4 13.9% · 4Q avg 14.3% · 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	7.4%	7.7% 0.3 pts better	16.3% 8.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	9.7%	6.2% 3.5 pts worse	14.9% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 2.2% · Q3 14.0% · Q4 16.0% · 4Q avg 9.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.2% 0.2 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	0.5% 0.5 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	24.0%	21.7% 2.3 pts worse	19.8% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 24.4% · Q3 20.4% · Q4 30.7% · 4Q avg 24.0%
Percentage of long-stay residents with pressure ulcers	7.5%	3.7% 3.8 pts worse	5.1% 2.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 6.1% · Q3 8.4% · Q4 10.0% · 4Q avg 7.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	90.9%	78.1% 12.8 pts better	81.7% 9.2 pts better	Short Stay · 2024Q4-2025Q3 · Q1 73.1% · Q2 94.1% · Q3 98.6% · Q4 98.2% · 4Q avg 90.9%
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.2% 1.2 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	83.8%	75.6% 8.2 pts better	79.7% 4.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 83.8%

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-08-15 · Fire 2024-08-15

19 health deficiencies

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

15 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2022-08-02 · Fire 2022-08-02

17 health deficiencies

Top issue: Resident Rights (4 deficiencies)

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 3 Health 2019-08-07 · Fire 2019-08-07

25 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-08-15

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-15

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 2024-09-12

F · Potential for more than minimal harm 2024-08-15

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 2024-09-12

F · Potential for more than minimal harm 2024-08-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-15

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-15

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-15

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-15

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 2024-09-12

F · Potential for more than minimal harm 2024-08-15

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-15

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 2024-09-12

F · Potential for more than minimal harm 2024-08-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-09-12

E · Potential for more than minimal harm 2024-08-15

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-09-12

E · Potential for more than minimal harm 2024-08-15

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-09-12

F · Potential for more than minimal harm 2022-08-02

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2022-08-31

F · Potential for more than minimal harm 2022-08-02

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-08-31

F · Potential for more than minimal harm 2022-08-02

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 2022-08-31

E · Potential for more than minimal harm 2022-08-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-08-31

E · Potential for more than minimal harm 2022-08-02

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-08-31

E · Potential for more than minimal harm 2022-08-02

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 2022-08-31

E · Potential for more than minimal harm 2022-08-02

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2022-08-31

E · Potential for more than minimal harm 2022-08-02

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-08-31

F · Potential for more than minimal harm 2019-08-07

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2019-09-20

F · Potential for more than minimal harm 2019-08-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-09-20

E · Potential for more than minimal harm 2019-08-07

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2019-09-20

E · Potential for more than minimal harm 2019-08-07

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-09-20

E · Potential for more than minimal harm 2019-08-07

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-09-20

E · Potential for more than minimal harm 2019-08-07

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 2019-09-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-30

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 2025-10-08

D · Potential for more than minimal harm 2025-09-30

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 2025-10-08

D · Potential for more than minimal harm 2025-08-28

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 2025-08-30

F · Potential for more than minimal harm 2025-07-30

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-08-14

F · Potential for more than minimal harm 2025-07-30

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 2025-08-14

D · Potential for more than minimal harm 2025-07-30

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 2025-08-14

D · Potential for more than minimal harm 2024-11-05

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-14

D · Potential for more than minimal harm 2024-11-05

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 2024-11-14

G · Actual harm 2024-08-15

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-12

F · Potential for more than minimal harm 2024-08-15

F867 · Administration Deficiencies

Health

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

Corrected 2024-09-12

E · Potential for more than minimal harm 2024-08-15

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 2024-09-12

E · Potential for more than minimal harm 2024-08-15

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 2024-09-12

D · Potential for more than minimal harm 2024-08-15

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-15

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 2024-09-12

D · Potential for more than minimal harm 2024-08-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-15

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 2024-08-15

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 2024-09-12

D · Potential for more than minimal harm 2024-08-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-12

D · Potential for more than minimal harm 2024-08-15

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 2024-09-12

D · Potential for more than minimal harm 2024-08-15

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2024-09-12

C · Minimal harm 2024-08-15

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 2024-09-12

E · Potential for more than minimal harm 2023-05-23

F883 · Infection Control Deficiencies

Health

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

Corrected 2023-06-07

G · Actual harm 2023-04-27

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-07

E · Potential for more than minimal harm 2023-04-27

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 2023-06-07

E · Potential for more than minimal harm 2022-08-02

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 2022-08-31

D · Potential for more than minimal harm 2022-08-02

F561 · Resident Rights Deficiencies

Health

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

Corrected 2022-08-31

D · Potential for more than minimal harm 2022-08-02

F569 · Resident Rights Deficiencies

Health

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

Corrected 2022-08-31

D · Potential for more than minimal harm 2022-08-02

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 2022-08-31

D · Potential for more than minimal harm 2022-08-02

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2022-08-31

D · Potential for more than minimal harm 2022-08-02

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-08-31

D · Potential for more than minimal harm 2022-08-02

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 2022-08-31

D · Potential for more than minimal harm 2022-08-02

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2022-08-31

D · Potential for more than minimal harm 2022-08-02

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 2022-08-31

D · Potential for more than minimal harm 2022-08-02

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 2022-08-31

D · Potential for more than minimal harm 2022-08-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-08-31

C · Minimal harm 2022-08-02

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2022-08-31

C · Minimal harm 2022-08-02

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-08-31

C · Minimal harm 2022-08-02

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2022-08-31

C · Minimal harm 2022-08-02

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2022-08-31

G · Actual harm 2019-08-07

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-09-20

F · Potential for more than minimal harm 2019-08-07

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 2019-09-20

F · Potential for more than minimal harm 2019-08-07

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2019-09-20

E · Potential for more than minimal harm 2019-08-07

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 2019-09-20

E · Potential for more than minimal harm 2019-08-07

F761 · Pharmacy Service Deficiencies

Health

Corrected 2019-09-20

E · Potential for more than minimal harm 2019-08-07

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 2019-09-20