Newark, OH

Embassy Of Newark

2-star overall rating with 1-star inspections with 16 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

75 Mcmillen Drive, Newark, OH

(740) 344-0357

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

145

Certified beds

Average residents

106

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Garden Springs Healthcare

Operator or chain grouping

Approved since

1979-10-19

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

6 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 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

0.30

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.10

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.32

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.72

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.39

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.20

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.30

CMS adjusted RN staffing hours

Adjusted total hours

3.76

CMS adjusted total nurse staffing hours

Case-mix index

1.35

Higher values indicate more complex resident acuity

RN turnover

56%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,766

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

Performance score

47.88

Composite VBP score used to determine payment impact.

Payment multiplier

1.0015

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.22

Baseline 18.44% · Performance 19.01% · Measure score 5.22 · Achievement 5.22 · Improvement 0

Healthcare-associated infections

2.36

Baseline 7.20% · Performance 7.13% · Measure score 2.36 · Achievement 2.36 · Improvement 0

Total nurse turnover

7.42

Performance 33.33% · Measure score 7.42 · Achievement 7.42 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

4.15

Baseline 1.61 hours · Performance 3.55 hours · Measure score 4.15 · Achievement 1.66 · Improvement 4.15

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.93%	10.72% 0.8 pts better	No Different than the National Rate · Eligible stays 68 · Observed rate 8.82% · Lower 95% interval 6.52%
Discharge to community	46.96%	50.57% 3.6 pts worse	No Different than the National Rate · Eligible stays 43 · Observed rate 39.53% · Lower 95% interval 35.15%
Medicare spending per beneficiary	0.93	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 50 · Denominator 50
Falls with major injury	2%	0.77% 1.2 pts worse	Numerator 1 · Denominator 50
Discharge self-care score	41.03%	53.69% 12.7 pts worse	Numerator 16 · Denominator 39
Discharge mobility score	35.9%	50.94% 15 pts worse	Numerator 14 · Denominator 39
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 50 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.13%	7.12% About the same	No Different than the National Rate · Eligible stays 37 · Observed rate 8.11% · Lower 95% interval 3.5%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 133
Staff flu vaccination coverage	2%	42% 40 pts worse	Numerator 3 · Denominator 150
Discharge function score	58.97%	56.45% 2.5 pts better	Numerator 23 · Denominator 39
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 19 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	11.11%	25.2% 14.1 pts worse	Numerator 3 · Denominator 27

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.8 0.6 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.8 0.1 pts worse	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.8 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.5%	92.4% 6.1 pts better	93.4% 5.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.9% · Q3 95.2% · Q4 100.0% · 4Q avg 98.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	97.1%	94.5% 2.6 pts better	95.5% 1.6 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1%
Percentage of long-stay residents experiencing one or more falls with major injury	3.0%	3.3% 0.3 pts better	3.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 3.2% · Q3 1.9% · Q4 3.9% · 4Q avg 3.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	23.1%	26.1% 3 pts better	11.4% 11.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 14.0% · Q3 22.9% · Q4 40.9% · 4Q avg 23.1%
Percentage of long-stay residents who lose too much weight	6.1%	6.2% 0.1 pts better	5.4% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.5% · Q2 3.9% · Q3 3.5% · Q4 9.3% · 4Q avg 6.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	33.0%	25.4% 7.6 pts worse	19.6% 13.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.5% · Q2 35.1% · Q3 32.2% · Q4 32.6% · 4Q avg 33.0%
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 19.6% · Q2 21.2% · Q3 9.5% · Q4 10.0% · 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	4.9%	7.7% 2.8 pts better	16.3% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.7% · Q3 14.9% · Q4 0.0% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	2.2%	6.2% 4 pts better	14.9% 12.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.3% · Q3 7.2% · Q4 0.0% · 4Q avg 2.2% · 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	0.3%	0.5% 0.2 pts better	1.7% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.8%	21.7% 7.1 pts worse	19.8% 9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 40.5% · Q3 25.2% · Q4 22.9% · 4Q avg 28.8%
Percentage of long-stay residents with pressure ulcers	3.8%	3.7% 0.1 pts worse	5.1% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 4.6% · Q3 2.8% · Q4 3.5% · 4Q avg 3.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	69.5%	78.1% 8.6 pts worse	81.7% 12.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 79.5% · Q2 73.6% · Q3 58.6% · Q4 63.5% · 4Q avg 69.5%
Percentage of short-stay residents who had an outpatient emergency department visit	7.8%	12.5% 4.7 pts better	12.0% 4.2 pts better	Short Stay · 20240701-20250630 · Adjusted 7.8% · Observed 8.8% · Expected 12.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.2%	1.2% 1 pts worse	1.6% 0.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.8% · Q4 4.8% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	67.4%	75.6% 8.2 pts worse	79.7% 12.3 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 67.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.0%	25.1% 10.1 pts better	23.9% 8.9 pts better	Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 14.7% · Expected 23.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-21 · Fire 2025-08-21

16 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2024-08-28 · Fire 2024-08-28

18 health deficiencies

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

11 fire-safety deficiencies

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

Cycle 3 Health 2022-10-19 · Fire 2022-10-19

20 health deficiencies

Top issue: Resident Rights (6 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-08-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-09-17

F · Potential for more than minimal harm 2025-08-21

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-09-17

E · Potential for more than minimal harm 2025-08-21

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-09-17

E · Potential for more than minimal harm 2025-08-21

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 2025-09-17

E · Potential for more than minimal harm 2025-08-21

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-09-17

E · Potential for more than minimal harm 2025-08-21

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-09-17

E · Potential for more than minimal harm 2025-08-21

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-09-17

F · Potential for more than minimal harm 2024-08-28

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-10-23

F · Potential for more than minimal harm 2024-08-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-10-23

F · Potential for more than minimal harm 2024-08-28

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-10-23

F · Potential for more than minimal harm 2024-08-28

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 2024-10-23

F · Potential for more than minimal harm 2024-08-28

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-10-23

E · Potential for more than minimal harm 2024-08-28

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-10-23

E · Potential for more than minimal harm 2024-08-28

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 2024-10-23

E · Potential for more than minimal harm 2024-08-28

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2024-10-23

E · Potential for more than minimal harm 2024-08-28

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-10-23

E · Potential for more than minimal harm 2024-08-28

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-10-23

E · Potential for more than minimal harm 2024-08-28

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-10-23

F · Potential for more than minimal harm 2022-10-19

K521 · Services Deficiencies

Fire Safety

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

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-19

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-19

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-19

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-19

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 2022-11-15

E · Potential for more than minimal harm 2022-10-19

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-11-15

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-10-30

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2025-11-26

G · Actual harm 2025-08-21

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-17

F · Potential for more than minimal harm 2025-08-21

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 2025-09-17

E · Potential for more than minimal harm 2025-08-21

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-08-21

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-08-21

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 2025-09-17

D · Potential for more than minimal harm 2025-08-21

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 2025-09-17

D · Potential for more than minimal harm 2025-08-21

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 2025-09-17

D · Potential for more than minimal harm 2025-08-21

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 2025-09-17

D · Potential for more than minimal harm 2025-08-21

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 2025-09-17

D · Potential for more than minimal harm 2025-08-21

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-08-21

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-08-21

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-08-21

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-08-21

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-08-21

F925 · Environmental Deficiencies

Health

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

Corrected 2025-09-17

E · Potential for more than minimal harm 2024-08-28

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 2024-10-24

E · Potential for more than minimal harm 2024-08-28

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2024-10-24

E · Potential for more than minimal harm 2024-08-28

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2024-10-24

E · Potential for more than minimal harm 2024-08-28

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2024-10-24

E · Potential for more than minimal harm 2024-08-28

F847 · Administration Deficiencies

Health

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-08-28

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 2024-10-24

D · Potential for more than minimal harm 2024-08-28

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-08-28

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 2024-10-24

D · Potential for more than minimal harm 2024-08-28

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 2024-10-24

D · Potential for more than minimal harm 2024-08-28

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 2024-10-24

D · Potential for more than minimal harm 2024-08-28

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-08-28

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-08-28

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 2024-10-24

D · Potential for more than minimal harm 2024-08-28

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 2024-10-25

D · Potential for more than minimal harm 2024-08-28

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-24

D · Potential for more than minimal harm 2024-08-28

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 2024-10-24

B · Minimal harm 2024-08-28

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 2024-10-24

B · Minimal harm 2024-08-28

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 2024-10-24

D · Potential for more than minimal harm 2024-02-14

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 2024-03-08

J · Immediate jeopardy 2023-03-20

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-03-09

F · Potential for more than minimal harm 2023-03-20

F850 · Administration Deficiencies

Health

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2023-03-21

F · Potential for more than minimal harm 2022-10-19

F568 · Resident Rights Deficiencies

Health

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

Corrected 2022-11-15

F · Potential for more than minimal harm 2022-10-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-19

F582 · Resident Rights Deficiencies

Health

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

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-19

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2022-11-15

E · Potential for more than minimal harm 2022-10-19

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 2022-11-15