Yakima, WA

Crescent Health Care

3-star overall rating with 3-star inspections with $173,932 in total fines with 10 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

505 North 40th Avenue, Yakima, WA

(509) 248-4446

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

85

Certified beds

Average residents

49

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1967-01-01

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

0.60

Registered nurse staffing · state 0.88 · national 0.68

LPN hours / resident day

0.69

Licensed practical nurse staffing · state 0.81 · national 0.87

Aide hours / resident day

2.36

Nurse aide staffing · state 2.69 · national 2.35

Total nurse hours

3.65

All reported nurse hours · state 4.39 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.70 · national 1.54

Weekend hours

3.34

Weekend nurse staffing · state 3.79 · national 3.43

Weekend RN hours

0.60

Weekend registered nurse coverage · state 0.63 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.59

CMS adjusted RN staffing hours

Adjusted total hours

3.56

CMS adjusted total nurse staffing hours

Case-mix index

1.40

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

35%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,128

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

Performance score

33.91

Composite VBP score used to determine payment impact.

Payment multiplier

0.9880

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

3.87

Baseline 17.75% · Performance 19.64% · Measure score 3.87 · Achievement 3.87 · Improvement 0

Healthcare-associated infections

0

Baseline 5.13% · Performance 8.41% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

7.97

Baseline 34.00% · Performance 31.11% · Measure score 7.97 · Achievement 7.97 · Improvement 2.66

Adjusted total nurse staffing

1.73

Baseline 3.01 hours · Performance 3.57 hours · Measure score 1.73 · Achievement 1.73 · Improvement 1.52

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.03%
10.72%
0.7 pts better
No Different than the National Rate · Eligible stays 65 · Observed rate 7.69% · Lower 95% interval 6.73%
Discharge to community 57.99%
50.57%
7.4 pts better
No Different than the National Rate · Eligible stays 69 · Observed rate 53.62% · Lower 95% interval 48.52%
Medicare spending per beneficiary 1.09
1.02
0.1 pts worse
Drug regimen review with follow-up 92.31%
95.27%
3 pts worse
Numerator 48 · Denominator 52
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 52
Discharge self-care score 43.24%
53.69%
10.4 pts worse
Numerator 16 · Denominator 37
Discharge mobility score 43.24%
50.94%
7.7 pts worse
Numerator 16 · Denominator 37
Pressure ulcers or injuries, new or worsened 1.92%
2.29%
0.4 pts better
Numerator 1 · Denominator 52 · Adjusted rate 1.97%
Healthcare-associated infections requiring hospitalization 8.41%
7.12%
1.3 pts worse
No Different than the National Rate · Eligible stays 49 · Observed rate 12.24% · Lower 95% interval 4.41%
Staff COVID-19 vaccination coverage 8.33%
8.2%
0.1 pts better
Numerator 6 · Denominator 72
Staff flu vaccination coverage 80.56%
42%
38.6 pts better
Numerator 58 · Denominator 72
Discharge function score 45.95%
56.45%
10.5 pts worse
Numerator 17 · Denominator 37
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Transfer of health information to patient 80.77%
96.28%
15.5 pts worse
Numerator 21 · Denominator 26
Resident COVID-19 vaccinations up to date 24%
25.2%
1.2 pts worse
Numerator 6 · Denominator 25

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.4
1.4
About the same
1.9
0.5 pts better
Long Stay · 20240701-20250630 · Adjusted 1.4 · Observed 1.6 · Expected 2.2 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.1
1.5
0.4 pts better
1.8
0.7 pts better
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 95.4%
96.0%
0.6 pts worse
93.4%
2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 95.1% · Q2 93.0% · Q3 95.7% · Q4 97.7% · 4Q avg 95.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 93.6%
93.8%
0.2 pts worse
95.5%
1.9 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.6%
Percentage of long-stay residents experiencing one or more falls with major injury 1.1%
2.6%
1.5 pts better
3.3%
2.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 2.2% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.5%
16.3%
13.8 pts better
11.4%
8.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 0.0% · Q4 7.5% · 4Q avg 2.5%
Percentage of long-stay residents who lose too much weight 6.2%
5.8%
0.4 pts worse
5.4%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.9% · Q3 7.9% · Q4 5.3% · 4Q avg 6.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 11.0%
12.1%
1.1 pts better
19.6%
8.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 10.8% · Q3 7.3% · Q4 14.6% · 4Q avg 11.0%
Percentage of long-stay residents who received an antipsychotic medication 19.9%
15.9%
4 pts worse
16.7%
3.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.7% · Q2 16.7% · Q3 25.7% · Q4 22.2% · 4Q avg 19.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.6%
0.1%
0.5 pts worse
0.1%
0.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.3% · 4Q avg 0.6%
Percentage of long-stay residents whose ability to walk independently worsened 33.3%
20.0%
13.3 pts worse
16.3%
17 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 33.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 27.5%
15.8%
11.7 pts worse
14.9%
12.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 34.4% · Q2 38.2% · Q3 21.6% · Q4 17.1% · 4Q avg 27.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 6.0%
1.2%
4.8 pts worse
1.0%
5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 4.4% · Q3 5.1% · Q4 6.1% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.4%
1.7%
0.7 pts worse
1.7%
0.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 0.0% · Q3 4.7% · Q4 0.0% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 25.3%
23.5%
1.8 pts worse
19.8%
5.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 26.5% · Q2 30.9% · Q3 18.3% · Q4 25.9% · 4Q avg 25.3%
Percentage of long-stay residents with pressure ulcers 11.1%
4.7%
6.4 pts worse
5.1%
6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.5% · Q2 8.5% · Q3 11.8% · Q4 15.4% · 4Q avg 11.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 69.0%
87.7%
18.7 pts worse
81.7%
12.7 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 58.5% · Q2 63.6% · Q3 69.7% · Q4 84.2% · 4Q avg 69.0%
Percentage of short-stay residents who had an outpatient emergency department visit 12.3%
13.2%
0.9 pts better
12.0%
0.3 pts worse
Short Stay · 20240701-20250630 · Adjusted 12.3% · Observed 12.1% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 6.4%
1.4%
5 pts worse
1.6%
4.8 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q4 14.3% · 4Q avg 6.4% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 81.2%
82.0%
0.8 pts worse
79.7%
1.5 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 22.4%
19.9%
2.5 pts worse
23.9%
1.5 pts better
Short Stay · 20240701-20250630 · Adjusted 22.4% · Observed 22.4% · Expected 23.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-05 · Fire 2025-12-05

10 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Cycle 2 Health 2024-12-09 · Fire 2024-12-09

20 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

15 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 3 Health 2023-10-31 · Fire 2023-10-31

16 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

14 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-05

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2026-01-06

F · Potential for more than minimal harm 2025-12-05

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2026-01-06

F · Potential for more than minimal harm 2025-12-05

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2026-01-06

F · Potential for more than minimal harm 2025-12-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2026-01-06

F · Potential for more than minimal harm 2025-12-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-01-06

E · Potential for more than minimal harm 2025-12-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2026-01-06

D · Potential for more than minimal harm 2025-12-05

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2026-01-06

D · Potential for more than minimal harm 2025-12-05

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2026-01-06

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

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2025-01-06

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

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-01-06

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

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-01-06

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

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2025-01-06

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

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-01-06

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

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 2025-01-06

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

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 2025-01-06

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

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-01-06

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

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-01-06

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

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-21

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

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 2025-01-06

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

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-01-06

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

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-01-06

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

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-01-06

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

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-14

F · Potential for more than minimal harm 2023-10-31

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-11-29

F · Potential for more than minimal harm 2023-10-31

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-11-29

F · Potential for more than minimal harm 2023-10-31

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-11-29

F · Potential for more than minimal harm 2023-10-31

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-10-31

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-29

F · Potential for more than minimal harm 2023-10-31

K346 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-29

F · Potential for more than minimal harm 2023-10-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-01-05

F · Potential for more than minimal harm 2023-10-31

K354 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-29

F · Potential for more than minimal harm 2023-10-31

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-11-29

F · Potential for more than minimal harm 2023-10-31

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-11-29

F · Potential for more than minimal harm 2023-10-31

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-11-29

F · Potential for more than minimal harm 2023-10-31

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-01-05

D · Potential for more than minimal harm 2023-10-31

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2023-11-29

D · Potential for more than minimal harm 2023-10-31

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2023-11-29

Inspection history

Recent health citations

G · Actual harm 2025-12-05

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 2026-01-15

E · Potential for more than minimal harm 2025-12-05

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2026-01-15

E · Potential for more than minimal harm 2025-12-05

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-15

E · Potential for more than minimal harm 2025-12-05

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 2026-01-15

D · Potential for more than minimal harm 2025-12-05

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 2026-01-15

D · Potential for more than minimal harm 2025-12-05

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 2026-01-15

D · Potential for more than minimal harm 2025-12-05

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 2026-01-15

D · Potential for more than minimal harm 2025-12-05

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-15

D · Potential for more than minimal harm 2025-12-05

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2026-01-15

D · Potential for more than minimal harm 2025-12-05

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-01-15

G · Actual harm 2024-12-09

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-17

G · Actual harm 2024-12-09

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-01-17

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

F568 · Resident Rights Deficiencies

Health

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

Corrected 2025-01-17

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

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-01-17

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

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-01-17

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

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-01-17

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

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 2025-01-17

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

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 2025-01-17

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

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 2025-01-17

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

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-01-17

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

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-01-17

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

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 2025-01-17

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

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 2025-01-17

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

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-01-17

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

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-17

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

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 2025-01-17

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

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2025-01-17

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

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 2024-10-25

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

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-25

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

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 2024-10-25

D · Potential for more than minimal harm 2023-12-28

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 2024-02-09

D · Potential for more than minimal harm 2023-12-28

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 2024-02-09

G · Actual harm 2023-10-31

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 2023-12-08

E · Potential for more than minimal harm 2023-10-31

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 2023-12-08

D · Potential for more than minimal harm 2023-10-31

F569 · Resident Rights Deficiencies

Health

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

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-10-31

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-10-31

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 2023-12-08

D · Potential for more than minimal harm 2023-10-31

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 2023-12-08

D · Potential for more than minimal harm 2023-10-31

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 2023-12-08

D · Potential for more than minimal harm 2023-10-31

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 2023-12-08

D · Potential for more than minimal harm 2023-10-31

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-10-31

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-10-31

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-10-31

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 2023-12-08

F · Potential for more than minimal harm 2023-10-09

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-11-10

E · Potential for more than minimal harm 2023-10-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-10

Penalties and ownership

What sits behind the stars

$116,471 2024-12-09

Fine

Fine · fine $116,471

Fine

$0 2024-12-09

Payment Denial

Payment Denial · denial start 2025-03-09 · 12 days

12 day denial

$57,461 2023-10-09

Fine

Fine · fine $57,461

Fine

Ownership

Harrington, Molly

5% Or Greater Direct Ownership Interest · Individual

100% 1 facilities 2006-08-01
Harrington, Molly

W-2 Managing Employee · Individual

0% 1 facilities 2006-02-01

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