Moweaqua, IL

Moweaqua Rehab & Hcc

1-star overall rating with 1-star inspections with $146,900 in total fines with 17 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

525 South Macon Street, Moweaqua, IL

(217) 768-3951

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

0 / 5

RN + nurse staffing

Quality measures

3 / 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

Tutera Senior Living & Health Care

Operator or chain grouping

Approved since

2013-06-21

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

25 facilities

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

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

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

9,100

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

Performance score

24.74

Composite VBP score used to determine payment impact.

Payment multiplier

0.9836

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

5.22

Baseline 21.85% · Performance 19.09% · Measure score 5.22 · Achievement 5.05 · Improvement 5.22

Healthcare-associated infections

2.20

Baseline 6.19% · Performance 7.18% · Measure score 2.20 · Achievement 2.20 · Improvement 0

Total nurse turnover

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Adjusted total nurse staffing

Baseline 3.34 hours · Performance 3 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.26%	10.72% 0.5 pts better	No Different than the National Rate · Eligible stays 65 · Observed rate 9.23% · Lower 95% interval 6.47%
Discharge to community	45.27%	50.57% 5.3 pts worse	No Different than the National Rate · Eligible stays 77 · Observed rate 35.06% · Lower 95% interval 36.26%
Medicare spending per beneficiary	1.11	1.02 0.1 pts worse
Drug regimen review with follow-up	98.04%	95.27% 2.8 pts better	Numerator 50 · Denominator 51
Falls with major injury	1.96%	0.77% 1.2 pts worse	Numerator 1 · Denominator 51
Discharge self-care score	35.14%	53.69% 18.5 pts worse	Numerator 13 · Denominator 37
Discharge mobility score	56.76%	50.94% 5.8 pts better	Numerator 21 · Denominator 37
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	7.18%	7.12% 0.1 pts worse	No Different than the National Rate · Eligible stays 49 · Observed rate 8.16% · Lower 95% interval 4.27%
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	56.76%	56.45% 0.3 pts better	Numerator 21 · Denominator 37
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 25 · Denominator 25
Resident COVID-19 vaccinations up to date	8%	25.2% 17.2 pts worse	Numerator 2 · Denominator 25

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.0	2.0 About the same	1.9 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 3.1 · Expected 3.0 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.6	2.3 0.3 pts worse	1.8 0.8 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 3.4 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.3%	89.6% 2.7 pts better	93.4% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 95.8% · Q2 83.7% · Q3 97.7% · 4Q avg 92.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	80.8%	91.6% 10.8 pts worse	95.5% 14.7 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 80.8%
Percentage of long-stay residents experiencing one or more falls with major injury	2.8%	3.3% 0.5 pts better	3.3% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 6.8% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	36.7%	50.3% 13.6 pts better	11.4% 25.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 44.2% · Q2 59.1% · Q3 4.9% · 4Q avg 36.7%
Percentage of long-stay residents who lose too much weight	11.4%	6.5% 4.9 pts worse	5.4% 6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.2% · Q2 22.0% · Q3 0.0% · 4Q avg 11.4%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.4%	18.5% 4.9 pts worse	19.6% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 23.8% · Q3 25.0% · 4Q avg 23.4%
Percentage of long-stay residents who received an antipsychotic medication	33.7%	22.8% 10.9 pts worse	16.7% 17 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.1% · Q2 37.0% · Q3 32.3% · 4Q avg 33.7% · 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% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	17.3%	17.2% 0.1 pts worse	16.3% 1 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 17.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	6.0%	15.0% 9 pts better	14.9% 8.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.2% · Q2 5.1% · Q3 0.0% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.1%	1.1% 1 pts worse	1.0% 1.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.3% · Q3 2.1% · 4Q avg 2.1% · 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% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	18.3%	21.3% 3 pts better	19.8% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 27.1% · Q2 16.0% · Q3 9.2% · 4Q avg 18.3%
Percentage of long-stay residents with pressure ulcers	9.3%	5.2% 4.1 pts worse	5.1% 4.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 10.4% · Q3 5.2% · 4Q avg 9.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	79.6%	68.8% 10.8 pts better	81.7% 2.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 71.4% · Q2 75.0% · Q3 87.5% · 4Q avg 79.6%
Percentage of short-stay residents who had an outpatient emergency department visit	26.9%	14.0% 12.9 pts worse	12.0% 14.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 26.9% · Observed 27.3% · Expected 11.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	3.1%	2.3% 0.8 pts worse	1.6% 1.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 4.0% · Q3 0.0% · 4Q avg 3.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	71.8%	63.0% 8.8 pts better	79.7% 7.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 71.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	19.1%	26.2% 7.1 pts better	23.9% 4.8 pts better	Short Stay · 20240701-20250630 · Adjusted 19.1% · Observed 18.2% · Expected 22.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-20 · Fire 2024-11-20

17 health deficiencies

Top issue: Nutrition and Dietary (5 deficiencies)

6 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Cycle 2 Health 2023-10-18 · Fire 2023-10-18

28 health deficiencies

Top issue: Quality of Life and Care (13 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2022-09-29 · Fire 2022-09-29

32 health deficiencies

Top issue: Quality of Life and Care (14 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-11-20

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2025-01-22

F · Potential for more than minimal harm 2024-11-20

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-01-22

F · Potential for more than minimal harm 2024-11-20

E36 · Emergency Preparedness Deficiencies

Fire Safety

Establish emergency prep training and testing.

Corrected 2025-01-22

F · Potential for more than minimal harm 2024-11-20

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2025-01-22

F · Potential for more than minimal harm 2024-11-20

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-01-22

F · Potential for more than minimal harm 2024-11-20

E4 · Emergency Preparedness Deficiencies

Fire Safety

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2025-01-22

F · Potential for more than minimal harm 2023-10-18

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2023-11-01

F · Potential for more than minimal harm 2022-09-29

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-10-26

F · Potential for more than minimal harm 2022-09-29

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2022-10-18

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-02-13

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-02-25

G · Actual harm 2025-01-06

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-01-26

E · Potential for more than minimal harm 2025-01-06

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 2025-01-26

G · Actual harm 2024-12-09

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-19

G · Actual harm 2024-12-09

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-12-19

E · Potential for more than minimal harm 2024-12-09

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-02-13

D · Potential for more than minimal harm 2024-12-09

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 2024-12-19

G · Actual harm 2024-11-20

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 2024-12-20

F · Potential for more than minimal harm 2024-11-20

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 2025-02-13

F · Potential for more than minimal harm 2024-11-20

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-12-20

F · Potential for more than minimal harm 2024-11-20

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 2024-12-20

F · Potential for more than minimal harm 2024-11-20

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2024-12-20

F · Potential for more than minimal harm 2024-11-20

F867 · Administration Deficiencies

Health

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Corrected 2024-12-20

F · Potential for more than minimal harm 2024-11-20

F868 · Administration Deficiencies

Health

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

Corrected 2024-12-20

E · Potential for more than minimal harm 2024-11-20

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 2025-02-13

E · Potential for more than minimal harm 2024-11-20

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-02-13

E · Potential for more than minimal harm 2024-11-20

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 2024-12-20

E · Potential for more than minimal harm 2024-11-20

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-02-13

D · Potential for more than minimal harm 2024-11-20

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-20

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 2024-12-20

D · Potential for more than minimal harm 2024-11-20

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-20

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 2025-02-13

D · Potential for more than minimal harm 2024-11-20

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2024-12-20

D · Potential for more than minimal harm 2024-11-20

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 2024-12-20

E · Potential for more than minimal harm 2024-10-24

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 2024-11-15

E · Potential for more than minimal harm 2024-10-24

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 2024-11-15

E · Potential for more than minimal harm 2024-10-24

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 2024-11-15

D · Potential for more than minimal harm 2024-10-24

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 2024-11-15

D · Potential for more than minimal harm 2024-10-24

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 2024-11-15

D · Potential for more than minimal harm 2024-10-02

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-10-28

D · Potential for more than minimal harm 2024-10-02

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 2024-11-15

D · Potential for more than minimal harm 2024-10-02

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-28

D · Potential for more than minimal harm 2024-10-02

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-28

D · Potential for more than minimal harm 2024-10-02

F773 · Administration Deficiencies

Health

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Corrected 2024-10-28

E · Potential for more than minimal harm 2024-09-03

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 2024-11-15

D · Potential for more than minimal harm 2024-05-21

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 2024-06-04

F · Potential for more than minimal harm 2024-02-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-26

D · Potential for more than minimal harm 2024-02-05

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 2024-02-26

D · Potential for more than minimal harm 2024-02-05

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-02-26

D · Potential for more than minimal harm 2024-02-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-26

D · Potential for more than minimal harm 2023-12-20

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-12-26

D · Potential for more than minimal harm 2023-12-20

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 2023-12-26

G · Actual harm 2023-11-27

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-12-07

G · Actual harm 2023-11-27

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 2023-12-26

F · Potential for more than minimal harm 2023-10-18

F741 · Quality of Life and Care Deficiencies

Health

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Corrected 2023-10-30

F · Potential for more than minimal harm 2023-10-18

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 2023-10-30

E · Potential for more than minimal harm 2023-10-18

F758 · Pharmacy Service Deficiencies

Health

Corrected 2023-10-30

D · Potential for more than minimal harm 2023-10-18

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-10-30

D · Potential for more than minimal harm 2023-10-18

F675 · Quality of Life and Care Deficiencies

Health

Honor each resident's preferences, choices, values and beliefs.

Corrected 2023-10-30

D · Potential for more than minimal harm 2023-10-18

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-10-30

D · Potential for more than minimal harm 2023-10-18

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 2023-10-30

D · Potential for more than minimal harm 2023-10-18

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 2023-10-30

C · Minimal harm 2023-10-18

F577 · Resident Rights Deficiencies

Health

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

Corrected 2023-11-09

D · Potential for more than minimal harm 2023-08-16

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 2023-08-31

F · Potential for more than minimal harm 2023-08-04

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2023-08-20

D · Potential for more than minimal harm 2023-08-04

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-07-17

D · Potential for more than minimal harm 2023-06-06

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 2023-06-13

G · Actual harm 2022-09-29

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-12-14

G · Actual harm 2022-09-29

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 2022-12-20

F · Potential for more than minimal harm 2022-09-29

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2022-12-14

F · Potential for more than minimal harm 2022-09-29

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2022-12-14

F · Potential for more than minimal harm 2022-09-29

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-12-14

F · Potential for more than minimal harm 2022-09-29

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-12-14

F · Potential for more than minimal harm 2022-09-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-12-14

E · Potential for more than minimal harm 2022-09-29