Dayton, OH

Garden Court Nursing And Rehabilitation Center

2-star overall rating with 1-star inspections with $76,996 in total fines with 33 recent health deficiencies with 22 fire-safety deficiencies in the latest cycle

4911 Covenant House Drive, Dayton, OH

(937) 837-2651

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

Hillstone Healthcare

Operator or chain grouping

Approved since

1977-12-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

14 facilities

Chain averages 3 overall / 3 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

0.42

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.80

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

0.89

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

2.11

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.22

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

1.76

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.23

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.12

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.30

CMS adjusted RN staffing hours

Adjusted total hours

1.50

CMS adjusted total nurse staffing hours

Case-mix index

1.92

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

12,858

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

Performance score

9.99

Composite VBP score used to determine payment impact.

Payment multiplier

0.9809

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

0.06

Baseline 73.21% · Performance 70.49% · Measure score 0.06 · Achievement 0 · Improvement 0.06

Adjusted total nurse staffing

1.94

Baseline 2.41 hours · Performance 3.23 hours · Measure score 1.94 · Achievement 0.55 · Improvement 1.94

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 1 · 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 Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
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 1 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 1 · 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 Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage	54.55%	8.2% 46.3 pts better	Numerator 36 · Denominator 66
Staff flu vaccination coverage	8.13%	42% 33.9 pts worse	Numerator 10 · Denominator 123
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 1 · 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	84.4%	92.4% 8 pts worse	93.4% 9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 91.8% · Q2 85.4% · Q3 79.5% · Q4 80.0% · 4Q avg 84.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	90.7%	94.5% 3.8 pts worse	95.5% 4.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 90.7%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	3.3% 3.3 pts better	3.3% 3.3 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 who have depressive symptoms	80.7%	26.1% 54.6 pts worse	11.4% 69.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 77.3% · Q2 77.5% · Q3 82.5% · Q4 85.7% · 4Q avg 80.7%
Percentage of long-stay residents who lose too much weight	2.9%	6.2% 3.3 pts better	5.4% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.4% · Q3 7.1% · Q4 2.2% · 4Q avg 2.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.6%	25.4% 0.2 pts worse	19.6% 6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 31.0% · Q3 23.8% · Q4 22.2% · 4Q avg 25.6%
Percentage of long-stay residents who received an antipsychotic medication	21.9%	11.5% 10.4 pts worse	16.7% 5.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 21.9% · 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	4.6%	7.7% 3.1 pts better	16.3% 11.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.0% · Q2 6.5% · Q3 6.1% · Q4 0.0% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	1.2%	6.2% 5 pts better	14.9% 13.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.4% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	0.2% 0.3 pts worse	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · 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	17.9%	21.7% 3.8 pts better	19.8% 1.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 23.9% · Q2 17.9% · Q3 10.2% · Q4 18.7% · 4Q avg 17.9%
Percentage of long-stay residents with pressure ulcers	2.0%	3.7% 1.7 pts better	5.1% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 0.0% · Q4 4.3% · 4Q avg 2.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	26.1%	78.1% 52 pts worse	81.7% 55.6 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 26.1%
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 · 4Q avg 0.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-07-23 · Fire 2024-07-23

33 health deficiencies

Top issue: Resident Rights (8 deficiencies)

22 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Cycle 2 Health 2022-11-07 · Fire 2022-11-07

32 health deficiencies

Top issue: Pharmacy Service (8 deficiencies)

19 fire-safety deficiencies

Top issue: Emergency Preparedness (8 deficiencies)

Cycle 3 Health 2019-12-18 · Fire 2019-12-18

27 health deficiencies

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

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-12-18

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2026-01-30

F · Potential for more than minimal harm 2025-12-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2026-01-30

F · Potential for more than minimal harm 2025-12-18

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2026-01-30

F · Potential for more than minimal harm 2025-12-18

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2026-01-30

F · Potential for more than minimal harm 2024-07-23

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-09-03

F · Potential for more than minimal harm 2024-07-23

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2024-09-03

F · Potential for more than minimal harm 2024-07-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-09-03

F · Potential for more than minimal harm 2024-07-23

K346 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-03

F · Potential for more than minimal harm 2024-07-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-09-03

F · Potential for more than minimal harm 2024-07-23

K354 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-03

F · Potential for more than minimal harm 2024-07-23

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-09-03

F · Potential for more than minimal harm 2024-07-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-09-03

F · Potential for more than minimal harm 2024-07-23

K912 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have power receptacles that are properly grounded.

Corrected 2024-09-03

F · Potential for more than minimal harm 2024-07-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-09-03

F · Potential for more than minimal harm 2024-07-23

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-09-03

E · Potential for more than minimal harm 2024-07-23

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-09-03

E · Potential for more than minimal harm 2024-07-23

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 2024-09-03

E · Potential for more than minimal harm 2024-07-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-09-03

E · Potential for more than minimal harm 2024-07-23

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-03

E · Potential for more than minimal harm 2024-07-23

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-09-03

E · Potential for more than minimal harm 2024-07-23

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 2024-09-03

E · Potential for more than minimal harm 2024-07-23

K754 · Miscellaneous Deficiencies

Fire Safety

Provide properly sized and located linen or trash receptacles.

Corrected 2024-09-03

F · Potential for more than minimal harm 2024-06-05

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2024-07-09

F · Potential for more than minimal harm 2024-06-05

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2024-07-09

F · Potential for more than minimal harm 2024-06-05

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2024-07-09

F · Potential for more than minimal harm 2024-06-05

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2024-09-03

F · Potential for more than minimal harm 2024-06-05

E6 · Emergency Preparedness Deficiencies

Fire Safety

Conduct risk assessment and an All-Hazards approach.

Corrected 2024-07-09

F · Potential for more than minimal harm 2024-06-05

K700 · Miscellaneous Deficiencies

Fire Safety

Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors.

Corrected 2024-07-09

E · Potential for more than minimal harm 2024-06-05

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 2024-09-03

F · Potential for more than minimal harm 2022-11-07

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-01-23

F · Potential for more than minimal harm 2022-11-07

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2023-01-23

F · Potential for more than minimal harm 2022-11-07

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-01-23

F · Potential for more than minimal harm 2022-11-07

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-01-23

F · Potential for more than minimal harm 2022-11-07

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-01-23

F · Potential for more than minimal harm 2022-11-07

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-01-23

F · Potential for more than minimal harm 2022-11-07

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2023-01-23

F · Potential for more than minimal harm 2022-11-07

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-01-23

E · Potential for more than minimal harm 2022-11-07

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 2023-01-23

E · Potential for more than minimal harm 2022-11-07

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-01-23

C · Minimal harm 2022-11-07

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2022-12-02

C · Minimal harm 2022-11-07

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2022-12-02

F · Potential for more than minimal harm 2019-12-18

K291 · Egress Deficiencies

Fire Safety

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

Corrected 2020-01-10

F · Potential for more than minimal harm 2019-12-18

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2020-01-10

F · Potential for more than minimal harm 2019-12-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2020-01-10

F · Potential for more than minimal harm 2019-12-18

K521 · Services Deficiencies

Fire Safety

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

Corrected 2020-01-10

F · Potential for more than minimal harm 2019-12-18

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2020-01-10

F · Potential for more than minimal harm 2019-12-18

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2020-01-10

F · Potential for more than minimal harm 2019-12-18

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 2020-01-10

E · Potential for more than minimal harm 2019-12-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2020-01-10

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-12-22

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 2026-01-30

E · Potential for more than minimal harm 2025-12-22

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 2026-01-30

E · Potential for more than minimal harm 2025-12-22

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2026-01-30

E · Potential for more than minimal harm 2025-12-22

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2026-01-30

F · Potential for more than minimal harm 2025-08-22

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-09-27

F · Potential for more than minimal harm 2025-08-22

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-09-27

E · Potential for more than minimal harm 2025-06-11

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-06-11

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-06-11

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-06-27

D · Potential for more than minimal harm 2025-06-11

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-06-27

E · Potential for more than minimal harm 2025-06-04

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-06-27

F · Potential for more than minimal harm 2025-03-26

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 2025-04-10

D · Potential for more than minimal harm 2025-03-26

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-04-10

D · Potential for more than minimal harm 2025-03-26

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 2025-04-10

D · Potential for more than minimal harm 2025-02-27

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 2025-03-10

D · Potential for more than minimal harm 2025-02-27

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-03-10

D · Potential for more than minimal harm 2025-02-27

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-03-10

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

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2025-02-07

D · Potential for more than minimal harm 2024-12-03

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-12-03

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-12-20

F · Potential for more than minimal harm 2024-07-23

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 2024-09-03

E · Potential for more than minimal harm 2024-07-23

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 2024-09-03

E · Potential for more than minimal harm 2024-07-23

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 2024-09-03

E · Potential for more than minimal harm 2024-07-23

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 2024-09-03

E · Potential for more than minimal harm 2024-07-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-09-03

E · Potential for more than minimal harm 2024-07-23