Kalamazoo, MI

Harold and Grace Upjohn Community Care Center

2-star overall rating with 2-star inspections with $31,186 in total fines with 17 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

2400 Portage St, Kalamazoo, MI

(269) 381-4290

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

Non-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

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

0.98

Registered nurse staffing · state 0.77 · national 0.68

LPN hours / resident day

0.63

Licensed practical nurse staffing · state 0.88 · national 0.87

Aide hours / resident day

1.94

Nurse aide staffing · state 2.38 · national 2.35

Total nurse hours

3.55

All reported nurse hours · state 4.03 · national 3.89

Licensed hours

1.61

RN + LPN hours · state 1.65 · national 1.54

Weekend hours

3.16

Weekend nurse staffing · state 3.52 · national 3.43

Weekend RN hours

0.64

Weekend registered nurse coverage · state 0.49 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

1.04

CMS adjusted RN staffing hours

Adjusted total hours

3.78

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

35%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,216

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

Performance score

17.65

Composite VBP score used to determine payment impact.

Payment multiplier

0.9818

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.61% · Performance 22.00% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

1.30

Baseline 5.80% · Performance 7.45% · Measure score 1.30 · Achievement 1.30 · Improvement 0

Total nurse turnover

2.67

Performance 52.78% · Measure score 2.67 · Achievement 2.67 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

3.10

Baseline 3.68 hours · Performance 3.96 hours · Measure score 3.10 · Achievement 3.10 · Improvement 0.85

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.44%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 149 · Observed rate 9.4% · Lower 95% interval 7.87%
Discharge to community	53.18%	50.57% 2.6 pts better	No Different than the National Rate · Eligible stays 151 · Observed rate 49.01% · Lower 95% interval 46.3%
Medicare spending per beneficiary	0.94	1.02 0.1 pts better
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 105 · Denominator 105
Falls with major injury	1.9%	0.77% 1.1 pts worse	Numerator 2 · Denominator 105
Discharge self-care score	59.72%	53.69% 6 pts better	Numerator 43 · Denominator 72
Discharge mobility score	50%	50.94% 0.9 pts worse	Numerator 36 · Denominator 72
Pressure ulcers or injuries, new or worsened	1.92%	2.29% 0.4 pts better	Numerator 2 · Denominator 104 · Adjusted rate 2.41%
Healthcare-associated infections requiring hospitalization	7.45%	7.12% 0.3 pts worse	No Different than the National Rate · Eligible stays 94 · Observed rate 7.45% · Lower 95% interval 4.14%
Staff COVID-19 vaccination coverage	2.27%	8.2% 5.9 pts worse	Numerator 3 · Denominator 132
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	63.89%	56.45% 7.4 pts better	Numerator 46 · Denominator 72
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 80 · Denominator 80
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	18.18%	25.2% 7 pts worse	Numerator 8 · Denominator 44

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	95.0% 3.8 pts better	93.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.4% · Q3 98.3% · Q4 98.3% · 4Q avg 98.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.0% 5 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	3.7%	3.1% 0.6 pts worse	3.3% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.8% · Q3 3.3% · Q4 1.7% · 4Q avg 3.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.1% 4.1 pts better	11.4% 11.4 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 lose too much weight	4.1%	5.5% 1.4 pts better	5.4% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 2.0% · Q3 4.2% · Q4 4.3% · 4Q avg 4.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.4%	19.6% 5.2 pts better	19.6% 5.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 19.6% · Q3 12.0% · Q4 10.2% · 4Q avg 14.4%
Percentage of long-stay residents who received an antipsychotic medication	12.6%	16.5% 3.9 pts better	16.7% 4.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 18.6% · Q3 8.7% · Q4 9.8% · 4Q avg 12.6% · 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	19.9%	13.9% 6 pts worse	16.3% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.2% · Q2 32.2% · Q3 25.3% · 4Q avg 19.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.0%	11.7% 0.3 pts worse	14.9% 2.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.8% · Q2 10.2% · Q3 17.4% · Q4 10.9% · 4Q avg 12.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.5%	0.9% 1.6 pts worse	1.0% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 2.2% · Q3 2.9% · Q4 3.4% · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.1%	1.7% 0.4 pts worse	1.7% 0.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 3.2% · Q3 1.7% · Q4 1.7% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.7%	20.4% 2.3 pts worse	19.8% 2.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.1% · Q2 18.5% · Q3 23.9% · Q4 25.3% · 4Q avg 22.7%
Percentage of long-stay residents with pressure ulcers	5.4%	5.6% 0.2 pts better	5.1% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 4.4% · Q3 2.9% · Q4 6.9% · 4Q avg 5.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	95.6%	82.8% 12.8 pts better	81.7% 13.9 pts better	Short Stay · 2024Q4-2025Q3 · Q1 95.0% · Q2 95.9% · Q3 96.1% · Q4 95.4% · 4Q avg 95.6%
Percentage of short-stay residents who had an outpatient emergency department visit	8.6%	11.5% 2.9 pts better	12.0% 3.4 pts better	Short Stay · 20240701-20250630 · Adjusted 8.6% · Observed 8.4% · Expected 10.9% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.3%	1.3% 1 pts better	1.6% 1.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	93.5%	79.5% 14 pts better	79.7% 13.8 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 93.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.6%	24.2% 4.4 pts worse	23.9% 4.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.6% · Observed 26.5% · Expected 22.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-12 · Fire 2025-03-12

17 health deficiencies

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

9 fire-safety deficiencies

Top issue: Egress (4 deficiencies)

Cycle 2 Health 2024-05-23 · Fire 2024-05-23

15 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

9 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2023-04-19 · Fire 2023-04-19

21 health deficiencies

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

9 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-12

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-04-21

F · Potential for more than minimal harm 2025-03-12

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-05-01

F · Potential for more than minimal harm 2025-03-12

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 2025-04-21

F · Potential for more than minimal harm 2025-03-12

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2025-04-21

F · Potential for more than minimal harm 2025-03-12

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-04-21

F · Potential for more than minimal harm 2025-03-12

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2025-04-21

F · Potential for more than minimal harm 2025-03-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-21

E · Potential for more than minimal harm 2025-03-12

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 2025-04-21

E · Potential for more than minimal harm 2025-03-12

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-04-21

F · Potential for more than minimal harm 2024-05-23

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-28

F · Potential for more than minimal harm 2024-05-23

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-05-23

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 2024-06-28

E · Potential for more than minimal harm 2024-05-23

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-05-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-05-23

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-05-23

K522 · Services Deficiencies

Fire Safety

Have an externally vented heating system.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-05-23

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-05-23

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-06-28

F · Potential for more than minimal harm 2023-04-19

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-05-26

F · Potential for more than minimal harm 2023-04-19

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-05-26

F · Potential for more than minimal harm 2023-04-19

K341 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-26

F · Potential for more than minimal harm 2023-04-19

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-05-26

F · Potential for more than minimal harm 2023-04-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-26

F · Potential for more than minimal harm 2023-04-19

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-05-26

E · Potential for more than minimal harm 2023-04-19

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 2023-05-26

E · Potential for more than minimal harm 2023-04-19

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 2023-05-26

E · Potential for more than minimal harm 2023-04-19

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2023-05-26

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-09-17

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-10-24

D · Potential for more than minimal harm 2025-09-17

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-24

D · Potential for more than minimal harm 2025-09-17

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 2025-10-24

D · Potential for more than minimal harm 2025-08-05

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-08-29

D · Potential for more than minimal harm 2025-08-05

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 2025-08-29

F · Potential for more than minimal harm 2025-03-12

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 2025-04-21

E · Potential for more than minimal harm 2025-03-12

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 2025-04-21

D · Potential for more than minimal harm 2025-03-12

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-04-21

D · Potential for more than minimal harm 2025-03-12

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 2025-04-21

D · Potential for more than minimal harm 2025-03-12

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-21

D · Potential for more than minimal harm 2025-03-12

F685 · Quality of Life and Care Deficiencies

Health

Assist a resident in gaining access to vision and hearing services.

Corrected 2025-04-21

D · Potential for more than minimal harm 2025-03-12

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-04-21

D · Potential for more than minimal harm 2025-03-12

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 2025-04-21

D · Potential for more than minimal harm 2025-03-12

F810 · Nutrition and Dietary Deficiencies

Health

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

Corrected 2025-04-21

D · Potential for more than minimal harm 2025-03-12

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-04-21

D · Potential for more than minimal harm 2025-03-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-21

D · Potential for more than minimal harm 2025-03-12

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-04-21

E · Potential for more than minimal harm 2024-12-27

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-31

E · Potential for more than minimal harm 2024-05-23

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-28

E · Potential for more than minimal harm 2024-05-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-05-23

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 2024-06-28

D · Potential for more than minimal harm 2024-05-23

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 2024-06-28

D · Potential for more than minimal harm 2024-05-23

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 2024-06-28

D · Potential for more than minimal harm 2024-05-23

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 2024-06-28

D · Potential for more than minimal harm 2024-05-23

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-05-23

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 2024-06-28

D · Potential for more than minimal harm 2024-05-23

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-06-28

D · Potential for more than minimal harm 2024-05-23

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 2024-06-28

D · Potential for more than minimal harm 2024-05-23

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 2024-06-28

J · Immediate jeopardy 2024-04-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-04-17

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 2024-05-10

D · Potential for more than minimal harm 2024-04-17

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-10

J · Immediate jeopardy 2023-11-20

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 2023-12-19

E · Potential for more than minimal harm 2023-11-20

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 2023-12-19

D · Potential for more than minimal harm 2023-11-20

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 2023-12-19

D · Potential for more than minimal harm 2023-11-20

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 2023-12-19

D · Potential for more than minimal harm 2023-11-20

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 2023-12-19

D · Potential for more than minimal harm 2023-11-20

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-12-19

F · Potential for more than minimal harm 2023-04-19

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 2023-05-26

E · Potential for more than minimal harm 2023-04-19

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 2023-05-26