Kingman, AZ

Desert Highlands Care Center

3-star overall rating with 3-star inspections with 9 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

1081 Kathleen Ave, Kingman, AZ

(928) 753-5580

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 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

120

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Circle B Enterprises

Operator or chain grouping

Approved since

1988-05-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

29 facilities

Chain averages 2 overall / 3 health / 2 staffing / 2 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

0.59

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

0.99

Licensed practical nurse staffing · state 1.04 · national 0.87

Aide hours / resident day

2.53

Nurse aide staffing · state 2.36 · national 2.35

Total nurse hours

4.12

All reported nurse hours · state 4.12 · national 3.89

Licensed hours

1.58

RN + LPN hours · state 1.76 · national 1.54

Weekend hours

3.46

Weekend nurse staffing · state 3.62 · national 3.43

Weekend RN hours

0.55

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.59

CMS adjusted RN staffing hours

Adjusted total hours

4.11

CMS adjusted total nurse staffing hours

Case-mix index

1.37

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,591

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

Performance score

26.27

Composite VBP score used to determine payment impact.

Payment multiplier

0.9841

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.21

Baseline 18.86% · Performance 20.41% · Measure score 2.21 · Achievement 2.21 · Improvement 0

Healthcare-associated infections

2.87

Baseline 6.79% · Performance 6.98% · Measure score 2.87 · Achievement 2.87 · Improvement 0

Total nurse turnover

3.35

Baseline 40.30% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 0

Adjusted total nurse staffing

2.09

Baseline 3.55 hours · Performance 3.67 hours · Measure score 2.09 · Achievement 2.09 · Improvement 0.04

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.38%	10.72% 0.7 pts worse	No Different than the National Rate · Eligible stays 163 · Observed rate 12.27% · Lower 95% interval 8.71%
Discharge to community	67.17%	50.57% 16.6 pts better	Better than the National Rate · Eligible stays 146 · Observed rate 61.64% · Lower 95% interval 59.62%
Medicare spending per beneficiary	0.71	1.02 0.3 pts better
Drug regimen review with follow-up	94.69%	95.27% 0.6 pts worse	Numerator 107 · Denominator 113
Falls with major injury	0.88%	0.77% 0.1 pts worse	Numerator 1 · Denominator 113
Discharge self-care score	53.25%	53.69% 0.4 pts worse	Numerator 41 · Denominator 77
Discharge mobility score	37.66%	50.94% 13.3 pts worse	Numerator 29 · Denominator 77
Pressure ulcers or injuries, new or worsened	1.77%	2.29% 0.5 pts better	Numerator 2 · Denominator 113 · Adjusted rate 1.95%
Healthcare-associated infections requiring hospitalization	6.98%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 96 · Observed rate 7.29% · Lower 95% interval 4.5%
Staff COVID-19 vaccination coverage	100%	8.2% 91.8 pts better	Numerator 2 · Denominator 2
Staff flu vaccination coverage	48.04%	42% 6 pts better	Numerator 49 · Denominator 102
Discharge function score	48.05%	56.45% 8.4 pts worse	Numerator 37 · Denominator 77
Transfer of health information to provider	63.64%	95.95% 32.3 pts worse	Numerator 14 · Denominator 22
Transfer of health information to patient	89.29%	96.28% 7 pts worse	Numerator 75 · Denominator 84
Resident COVID-19 vaccinations up to date	24.56%	25.2% 0.6 pts worse	Numerator 14 · Denominator 57

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	1.7 0.2 pts worse	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.4 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.5 0.4 pts worse	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.4 · Expected 1.2 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.0%	97.1% 1.9 pts better	93.4% 5.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 96.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.2%	94.6% 3.6 pts better	95.5% 2.7 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.2%
Percentage of long-stay residents experiencing one or more falls with major injury	1.0%	2.1% 1.1 pts better	3.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.1% · Q4 2.2% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.0%	4.2% 1.2 pts better	11.4% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 4.2% · Q3 2.7% · Q4 3.0% · 4Q avg 3.0%
Percentage of long-stay residents who lose too much weight	0.0%	5.3% 5.3 pts better	5.4% 5.4 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 who received an antianxiety or hypnotic medication	9.0%	20.5% 11.5 pts better	19.6% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 4.3% · Q3 12.2% · Q4 19.0% · 4Q avg 9.0%
Percentage of long-stay residents who received an antipsychotic medication	7.7%	11.8% 4.1 pts better	16.7% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 7.7% · Q3 10.0% · Q4 12.5% · 4Q avg 7.7% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.3% 0.3 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 need for help with daily activities has increased	20.1%	10.8% 9.3 pts worse	14.9% 5.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 8.9% · Q3 19.5% · Q4 28.6% · 4Q avg 20.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	4.7%	0.9% 3.8 pts worse	1.0% 3.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.9% · Q2 8.8% · Q3 2.9% · Q4 2.5% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.2%	1.2% 1 pts worse	1.7% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.3% · Q3 4.3% · Q4 2.2% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.2%	20.5% 0.3 pts better	19.8% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.6% · Q2 13.0% · Q3 17.7% · Q4 22.7% · 4Q avg 20.2%
Percentage of long-stay residents with pressure ulcers	9.8%	4.8% 5 pts worse	5.1% 4.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 7.4% · Q3 14.0% · Q4 10.6% · 4Q avg 9.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.5%	91.1% 7.4 pts better	81.7% 16.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 97.6% · Q2 98.7% · Q3 98.8% · Q4 98.8% · 4Q avg 98.5%
Percentage of short-stay residents who had an outpatient emergency department visit	22.7%	10.7% 12 pts worse	12.0% 10.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 22.7% · Observed 22.3% · Expected 11.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.1% 0.3 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 0.7% · Q3 1.2% · Q4 0.7% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	97.1%	87.3% 9.8 pts better	79.7% 17.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 97.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.3%	24.6% 0.3 pts better	23.9% 0.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.3% · Observed 25.2% · Expected 24.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-14 · Fire 2025-03-14

9 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

12 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 2 Health 2023-09-08 · Fire 2023-09-08

9 health deficiencies

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

19 fire-safety deficiencies

Top issue: Emergency Preparedness (7 deficiencies)

Cycle 3 Health 2022-07-14 · Fire 2022-07-14

10 health deficiencies

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

14 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-14

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2025-04-25

E · Potential for more than minimal harm 2025-03-14

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-04-25

E · Potential for more than minimal harm 2025-03-14

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-04-19

E · Potential for more than minimal harm 2025-03-14

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2025-04-19

E · Potential for more than minimal harm 2025-03-14

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-04-19

E · Potential for more than minimal harm 2025-03-14

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-19

E · Potential for more than minimal harm 2025-03-14

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-04-19

E · Potential for more than minimal harm 2025-03-14

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-19

E · Potential for more than minimal harm 2025-03-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-25

E · Potential for more than minimal harm 2025-03-14

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-25

E · Potential for more than minimal harm 2025-03-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-04-25

E · Potential for more than minimal harm 2025-03-14

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2025-04-25

C · Minimal harm 2023-09-08

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2023-10-30

C · Minimal harm 2023-09-08

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-10-30

C · Minimal harm 2023-09-08

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2023-10-30

C · Minimal harm 2023-09-08

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2023-10-30

C · Minimal harm 2023-09-08

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2023-10-30

C · Minimal harm 2023-09-08

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-10-30

C · Minimal harm 2023-09-08

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-10-30

C · Minimal harm 2023-09-08

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-10-30

C · Minimal harm 2023-09-08

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 2023-10-30

C · Minimal harm 2023-09-08

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-10-30

C · Minimal harm 2023-09-08

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2023-10-30

C · Minimal harm 2023-09-08

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-10-30

C · Minimal harm 2023-09-08

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-10-30

C · Minimal harm 2023-09-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-30

C · Minimal harm 2023-09-08

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-10-30

C · Minimal harm 2023-09-08

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 2023-10-30

C · Minimal harm 2023-09-08

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-10-30

C · Minimal harm 2023-09-08

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2023-10-30

C · Minimal harm 2023-09-08

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-10-30

E · Potential for more than minimal harm 2022-07-14

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2022-08-15

E · Potential for more than minimal harm 2022-07-14

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2022-08-15

E · Potential for more than minimal harm 2022-07-14

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-08-15

E · Potential for more than minimal harm 2022-07-14

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-08-15

E · Potential for more than minimal harm 2022-07-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-07-14

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-07-14

E23 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for medical documentation.

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-07-14

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-07-14

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-07-14

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-07-14

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-07-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-07-14

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-07-14

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-08-15

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-31

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 2025-08-25

D · Potential for more than minimal harm 2025-04-17

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-25

D · Potential for more than minimal harm 2025-03-14

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 2025-05-01

D · Potential for more than minimal harm 2025-03-14

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 2025-05-01

D · Potential for more than minimal harm 2025-03-14

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-05-10

D · Potential for more than minimal harm 2025-03-14

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 2025-05-10

D · Potential for more than minimal harm 2025-03-14

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-05-10

D · Potential for more than minimal harm 2025-03-14

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 2025-05-01

D · Potential for more than minimal harm 2025-03-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-01

D · Potential for more than minimal harm 2024-11-21

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 2024-12-31

D · Potential for more than minimal harm 2024-11-21

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 2024-12-31

D · Potential for more than minimal harm 2024-11-21

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-12-31

D · Potential for more than minimal harm 2024-02-22

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 2024-04-07

E · Potential for more than minimal harm 2023-09-08

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-11-08

E · Potential for more than minimal harm 2023-09-08

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 2023-11-08

E · Potential for more than minimal harm 2023-09-08

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-08

E · Potential for more than minimal harm 2023-09-08

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-08

E · Potential for more than minimal harm 2023-09-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-11-08

D · Potential for more than minimal harm 2023-09-08

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 2023-11-08

D · Potential for more than minimal harm 2023-04-12

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 2023-06-21

E · Potential for more than minimal harm 2022-07-14

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 2022-08-15

E · Potential for more than minimal harm 2022-07-14

F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-07-14

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-07-14

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 2022-08-15

D · Potential for more than minimal harm 2022-07-14

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-07-14

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 2022-08-15

D · Potential for more than minimal harm 2022-07-14

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-08-15

D · Potential for more than minimal harm 2022-07-14

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 2022-08-15

Penalties and ownership