Warminster, PA

Majestic Oaks Rehabilitation And Nursing Center

1-star overall rating with 1-star inspections with $35,175 in total fines with 21 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

333 Newtown Road, Warminster, PA

(215) 672-9082

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 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

180

Certified beds

Average residents

156

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Continuum Healthcare

Operator or chain grouping

Approved since

1979-03-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

12 facilities

Chain averages 2 overall / 3 health / 3 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

0.50

Registered nurse staffing · state 0.78 · national 0.68

LPN hours / resident day

0.89

Licensed practical nurse staffing · state 0.91 · national 0.87

Aide hours / resident day

1.95

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.33

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.38

RN + LPN hours · state 1.69 · national 1.54

Weekend hours

3.07

Weekend nurse staffing · state 3.51 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.55 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.59

CMS adjusted RN staffing hours

Adjusted total hours

3.98

CMS adjusted total nurse staffing hours

Case-mix index

1.15

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover · state 43% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 47% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,244

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

Performance score

24.31

Composite VBP score used to determine payment impact.

Payment multiplier

0.9834

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.31% · Performance 21.80% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.59% · Performance 8.04% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

7.61

Baseline 62.44% · Performance 32.59% · Measure score 7.61 · Achievement 7.61 · Improvement 7.44

Adjusted total nurse staffing

2.12

Baseline 4.42 hours · Performance 3.68 hours · Measure score 2.12 · Achievement 2.12 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.01%	10.72% 0.3 pts worse	No Different than the National Rate · Eligible stays 146 · Observed rate 11.64% · Lower 95% interval 7.65%
Discharge to community	36.89%	50.57% 13.7 pts worse	Worse than the National Rate · Eligible stays 88 · Observed rate 23.86% · Lower 95% interval 26.88%
Medicare spending per beneficiary	1.1	1.02 0.1 pts worse
Drug regimen review with follow-up	99.45%	95.27% 4.2 pts better	Numerator 182 · Denominator 183
Falls with major injury	2.19%	0.77% 1.4 pts worse	Numerator 4 · Denominator 183
Discharge self-care score	46.15%	53.69% 7.5 pts worse	Numerator 54 · Denominator 117
Discharge mobility score	48.72%	50.94% 2.2 pts worse	Numerator 57 · Denominator 117
Pressure ulcers or injuries, new or worsened	1.09%	2.29% 1.2 pts better	Numerator 2 · Denominator 183 · Adjusted rate 1.12%
Healthcare-associated infections requiring hospitalization	8.04%	7.12% 0.9 pts worse	No Different than the National Rate · Eligible stays 88 · Observed rate 10.23% · Lower 95% interval 5.27%
Staff COVID-19 vaccination coverage	0.89%	8.2% 7.3 pts worse	Numerator 1 · Denominator 112
Staff flu vaccination coverage	46.62%	42% 4.6 pts better	Numerator 62 · Denominator 133
Discharge function score	60.68%	56.45% 4.2 pts better	Numerator 71 · Denominator 117
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 59 · Denominator 59
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 21 · Denominator 21
Resident COVID-19 vaccinations up to date	0%	25.2% 25.2 pts worse	Numerator 0 · Denominator 100

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.4	1.7 1.7 pts worse	1.9 1.5 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.4 · Observed 3.0 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.3	1.2 0.1 pts worse	1.8 0.5 pts better	Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.2 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	89.0%	86.9% 2.1 pts better	93.4% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 66.2% · Q2 99.3% · Q3 96.7% · Q4 93.5% · 4Q avg 89.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.7%	93.5% 5.2 pts better	95.5% 3.2 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.7%
Percentage of long-stay residents experiencing one or more falls with major injury	2.7%	3.2% 0.5 pts better	3.3% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.0% · Q3 3.3% · Q4 3.9% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	13.1%	6.5% 6.6 pts worse	11.4% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 10.4% · Q2 14.8% · Q3 11.6% · Q4 15.6% · 4Q avg 13.1%
Percentage of long-stay residents who lose too much weight	6.0%	6.5% 0.5 pts better	5.4% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 9.9% · Q3 5.3% · Q4 5.1% · 4Q avg 6.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	30.7%	19.9% 10.8 pts worse	19.6% 11.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.9% · Q2 32.1% · Q3 30.3% · Q4 29.5% · 4Q avg 30.7%
Percentage of long-stay residents who received an antipsychotic medication	28.9%	18.7% 10.2 pts worse	16.7% 12.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.5% · Q2 29.0% · Q3 27.5% · Q4 29.6% · 4Q avg 28.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 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	12.7%	19.6% 6.9 pts better	16.3% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 9.0% · Q3 14.4% · Q4 12.4% · 4Q avg 12.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.0%	18.3% 1.3 pts better	14.9% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.4% · Q2 10.5% · Q3 16.3% · Q4 22.4% · 4Q avg 17.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.3%	0.9% 0.6 pts better	1.0% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.6% · Q4 0.6% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.7% 1.7 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	21.6%	26.4% 4.8 pts better	19.8% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.9% · Q2 19.9% · Q3 23.1% · Q4 23.3% · 4Q avg 21.6%
Percentage of long-stay residents with pressure ulcers	4.1%	5.3% 1.2 pts better	5.1% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 4.0% · Q3 4.4% · Q4 2.4% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	37.1%	68.9% 31.8 pts worse	81.7% 44.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 31.1% · Q2 40.8% · Q3 42.4% · Q4 32.6% · 4Q avg 37.1%
Percentage of short-stay residents who had an outpatient emergency department visit	9.1%	9.8% 0.7 pts better	12.0% 2.9 pts better	Short Stay · 20240701-20250630 · Adjusted 9.1% · Observed 9.0% · Expected 11.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.5% 0.6 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.8% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	43.2%	68.7% 25.5 pts worse	79.7% 36.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 43.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	28.3%	23.1% 5.2 pts worse	23.9% 4.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 28.3% · Observed 26.4% · Expected 22.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-20 · Fire 2025-03-20

21 health deficiencies

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

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-05-28 · Fire 2024-05-28

19 health deficiencies

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

2 fire-safety deficiencies

Top issue: Construction (1 deficiency)

Cycle 3 Health 2023-06-30 · Fire 2023-06-30

22 health deficiencies

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

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-20

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-14

F · Potential for more than minimal harm 2025-03-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-14

F · Potential for more than minimal harm 2025-03-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-05-14

E · Potential for more than minimal harm 2025-03-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-05-14

E · Potential for more than minimal harm 2025-03-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-14

E · Potential for more than minimal harm 2025-03-20

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-05-14

E · Potential for more than minimal harm 2025-03-20

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-05-14

E · Potential for more than minimal harm 2024-05-28

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-06-14

C · Minimal harm 2024-05-28

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2024-06-14

F · Potential for more than minimal harm 2023-06-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-09-01

E · Potential for more than minimal harm 2023-06-30

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2023-09-01

E · Potential for more than minimal harm 2023-06-30

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-09-01

E · Potential for more than minimal harm 2023-06-30

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2023-09-01

E · Potential for more than minimal harm 2023-06-30

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2023-09-01

E · Potential for more than minimal harm 2023-06-30

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-09-01

C · Minimal harm 2023-06-30

K100 · Construction Deficiencies

Fire Safety

Meet other general requirements.

Corrected 2023-09-01

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-03-20

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 2025-05-14

F · Potential for more than minimal harm 2025-03-20

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-05-14

F · Potential for more than minimal harm 2025-03-20

F925 · Environmental Deficiencies

Health

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

Corrected 2025-05-14

E · Potential for more than minimal harm 2025-03-20

F577 · Resident Rights Deficiencies

Health

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Corrected 2025-05-14

E · Potential for more than minimal harm 2025-03-20

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 2025-05-14

E · Potential for more than minimal harm 2025-03-20

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-05-14

E · Potential for more than minimal harm 2025-03-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-03-20

F585 · Resident Rights Deficiencies

Health

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

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-03-20

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-03-20

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-03-20

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 2025-05-14

D · Potential for more than minimal harm 2025-03-20

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 2025-05-14

D · Potential for more than minimal harm 2025-03-20

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 2025-05-14

D · Potential for more than minimal harm 2025-03-20

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-03-20

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-03-20

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-03-20

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-03-20

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-03-20

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 2025-05-14

D · Potential for more than minimal harm 2025-03-20

F806 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-03-20

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2025-05-14

E · Potential for more than minimal harm 2024-10-17

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2024-11-01

D · Potential for more than minimal harm 2024-09-16

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 2024-11-11

D · Potential for more than minimal harm 2024-09-16

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-11-11

D · Potential for more than minimal harm 2024-06-10

F626 · Resident Rights Deficiencies

Health

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Corrected 2024-06-27

G · Actual harm 2024-05-28

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 2024-06-24

E · Potential for more than minimal harm 2024-05-28

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 2024-06-24

D · Potential for more than minimal harm 2024-05-28

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-06-24

D · Potential for more than minimal harm 2024-05-28

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 2024-06-24

D · Potential for more than minimal harm 2024-05-28

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-06-24

D · Potential for more than minimal harm 2024-05-28

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-24

D · Potential for more than minimal harm 2024-05-28

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-24

D · Potential for more than minimal harm 2024-05-28

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 2024-06-07

D · Potential for more than minimal harm 2024-05-28

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 2024-06-24

D · Potential for more than minimal harm 2024-05-28

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2024-06-24

D · Potential for more than minimal harm 2024-05-28

F807 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

Corrected 2024-06-24

D · Potential for more than minimal harm 2024-05-28

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 2024-06-24

G · Actual harm 2024-04-24

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-06

D · Potential for more than minimal harm 2024-04-24

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 2024-06-06

D · Potential for more than minimal harm 2024-04-24

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 2024-06-06

F · Potential for more than minimal harm 2023-06-30

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 2023-08-24

E · Potential for more than minimal harm 2023-06-30

F585 · Resident Rights Deficiencies

Health

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

Corrected 2023-08-24

E · Potential for more than minimal harm 2023-06-30

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 2023-08-24

E · Potential for more than minimal harm 2023-06-30

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 2023-08-24

E · Potential for more than minimal harm 2023-06-30

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 2023-08-24

E · Potential for more than minimal harm 2023-06-30