Youngstown, OH

Oasis Center For Rehabilitation And Healing

1-star overall rating with 1-star inspections with 12 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

850 East Midlothian Blvd, Youngstown, OH

(330) 788-3038

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 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

For-Profit

Publicly displayed owner type

Chain

David Oberlander

Operator or chain grouping

Approved since

1990-07-02

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

7 facilities

Chain averages 1 overall / 1 health / 2 staffing / 4 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.47

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.09

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.78

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.57

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.33

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.19

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.37

CMS adjusted RN staffing hours

Adjusted total hours

2.99

CMS adjusted total nurse staffing hours

Case-mix index

1.73

Higher values indicate more complex resident acuity

RN turnover

27%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

2,840

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

Performance score

47.44

Composite VBP score used to determine payment impact.

Payment multiplier

1.0010

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

8.07

Baseline 11.06% · Performance 5.86% · Measure score 8.07 · Achievement 6.61 · Improvement 8.07

Total nurse turnover

4.68

Baseline 53.93% · Performance 44.56% · Measure score 4.68 · Achievement 4.68 · Improvement 2.72

Adjusted total nurse staffing

1.48

Baseline 3.42 hours · Performance 3.50 hours · Measure score 1.48 · Achievement 1.48 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.86%	10.72% 0.1 pts worse	No Different than the National Rate · Eligible stays 50 · Observed rate 14% · Lower 95% interval 7.22%
Discharge to community	46.26%	50.57% 4.3 pts worse	No Different than the National Rate · Eligible stays 36 · Observed rate 27.78% · Lower 95% interval 28.44%
Medicare spending per beneficiary	1.25	1.02 0.2 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 67 · Denominator 67
Falls with major injury	1.49%	0.77% 0.7 pts worse	Numerator 1 · Denominator 67
Discharge self-care score	59.38%	53.69% 5.7 pts better	Numerator 19 · Denominator 32
Discharge mobility score	53.13%	50.94% 2.2 pts better	Numerator 17 · Denominator 32
Pressure ulcers or injuries, new or worsened	8.96%	2.29% 6.7 pts worse	Numerator 6 · Denominator 67 · Adjusted rate 7.8%
Healthcare-associated infections requiring hospitalization	5.86%	7.12% 1.3 pts better	No Different than the National Rate · Eligible stays 25 · Observed rate 0% · Lower 95% interval 3.44%
Staff COVID-19 vaccination coverage	54.2%	8.2% 46 pts better	Numerator 71 · Denominator 131
Staff flu vaccination coverage	48.53%	42% 6.5 pts better	Numerator 66 · Denominator 136
Discharge function score	71.88%	56.45% 15.4 pts better	Numerator 23 · Denominator 32
Transfer of health information to provider	6.9%	95.95% 89 pts worse	Numerator 2 · Denominator 29
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	25.58%	25.2% 0.4 pts better	Numerator 11 · Denominator 43

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.5	1.8 0.7 pts worse	1.9 0.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.8 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.8 0.9 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	92.6%	92.4% 0.2 pts better	93.4% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 93.3% · Q2 92.9% · Q3 92.7% · Q4 91.5% · 4Q avg 92.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.5% 5.5 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	2.1%	3.3% 1.2 pts better	3.3% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 1.2% · Q3 1.2% · Q4 1.2% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	86.7%	26.1% 60.6 pts worse	11.4% 75.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 80.8% · Q2 84.4% · Q3 88.4% · Q4 93.3% · 4Q avg 86.7%
Percentage of long-stay residents who lose too much weight	7.1%	6.2% 0.9 pts worse	5.4% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 8.3% · Q3 5.4% · Q4 8.1% · 4Q avg 7.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.2%	25.4% 0.2 pts better	19.6% 5.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 29.1% · Q2 24.7% · Q3 25.0% · Q4 21.6% · 4Q avg 25.2%
Percentage of long-stay residents who received an antipsychotic medication	10.0%	11.5% 1.5 pts better	16.7% 6.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 3.9% · Q3 8.2% · Q4 18.5% · 4Q avg 10.0% · 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	4.7%	7.7% 3 pts better	16.3% 11.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 7.1% · Q3 2.8% · Q4 6.0% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	4.8%	6.2% 1.4 pts better	14.9% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 4.3% · Q3 1.5% · Q4 7.7% · 4Q avg 4.8% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.2% 0.2 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	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	17.3%	21.7% 4.4 pts better	19.8% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 16.7% · Q3 16.0% · Q4 19.0% · 4Q avg 17.3%
Percentage of long-stay residents with pressure ulcers	3.6%	3.7% 0.1 pts better	5.1% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 5.6% · Q3 3.2% · Q4 1.4% · 4Q avg 3.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	79.3%	78.1% 1.2 pts better	81.7% 2.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 88.1% · Q2 81.0% · Q3 72.0% · Q4 78.2% · 4Q avg 79.3%
Percentage of short-stay residents who had an outpatient emergency department visit	17.5%	12.5% 5 pts worse	12.0% 5.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 17.5% · Observed 19.2% · Expected 12.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.8%	1.2% 0.4 pts better	1.6% 0.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 3.3% · 4Q avg 0.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	83.1%	75.6% 7.5 pts better	79.7% 3.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 83.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.5%	25.1% 0.6 pts better	23.9% 0.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.5% · Observed 28.8% · Expected 28.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2023-06-08 · Fire 2023-06-08

12 health deficiencies

Top issue: Environmental (2 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2021-05-14 · Fire 2021-05-14

27 health deficiencies

Top issue: Nutrition and Dietary (13 deficiencies)

10 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2019-03-18 · Fire 2019-03-18

28 health deficiencies

Top issue: Resident Assessment and Care Planning (6 deficiencies)

15 fire-safety deficiencies

Top issue: Smoke (7 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2023-06-08

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-06-30

F · Potential for more than minimal harm 2023-06-08

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 2023-06-30

F · Potential for more than minimal harm 2023-06-08

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-06-08

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-06-08

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-06-08

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 2023-06-30

D · Potential for more than minimal harm 2023-06-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2023-06-30

F · Potential for more than minimal harm 2021-05-14

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2021-06-25

F · Potential for more than minimal harm 2021-05-14

K521 · Services Deficiencies

Fire Safety

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

Corrected 2021-06-25

F · Potential for more than minimal harm 2021-05-14

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2021-06-25

E · Potential for more than minimal harm 2021-05-14

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 2021-06-25

E · Potential for more than minimal harm 2021-05-14

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2021-06-25

E · Potential for more than minimal harm 2021-05-14

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2021-06-25

E · Potential for more than minimal harm 2021-05-14

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2021-08-09

D · Potential for more than minimal harm 2021-05-14

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2021-06-25

D · Potential for more than minimal harm 2021-05-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-06-25

D · Potential for more than minimal harm 2021-05-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-06-25

F · Potential for more than minimal harm 2019-03-18

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2019-04-04

F · Potential for more than minimal harm 2019-03-18

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-04-04

F · Potential for more than minimal harm 2019-03-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-04-04

F · Potential for more than minimal harm 2019-03-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-04-04

F · Potential for more than minimal harm 2019-03-18

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 2019-04-04

F · Potential for more than minimal harm 2019-03-18

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2019-04-04

F · Potential for more than minimal harm 2019-03-18

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 2019-04-04

E · Potential for more than minimal harm 2019-03-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2019-04-04

E · Potential for more than minimal harm 2019-03-18

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-04-04

E · Potential for more than minimal harm 2019-03-18

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-04-04

E · Potential for more than minimal harm 2019-03-18

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2019-04-04

E · Potential for more than minimal harm 2019-03-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-04-04

E · Potential for more than minimal harm 2019-03-18

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2019-04-04

C · Minimal harm 2019-03-18

K346 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-04-04

C · Minimal harm 2019-03-18

K354 · Smoke Deficiencies

Fire Safety

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

Corrected 2019-04-04

Inspection history

Recent health citations

E · Potential for more than minimal harm 2026-01-15

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 2026-02-23

F · Potential for more than minimal harm 2024-09-11

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 2024-09-26

F · Potential for more than minimal harm 2024-09-11

F835 · Administration Deficiencies

Health

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Corrected 2024-09-26

D · Potential for more than minimal harm 2024-09-11

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 2024-09-26

D · Potential for more than minimal harm 2024-09-11

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-09-26

E · Potential for more than minimal harm 2024-05-14

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 2024-05-15

F · Potential for more than minimal harm 2024-04-12

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 2024-05-15

F · Potential for more than minimal harm 2024-04-12

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 2024-05-15

C · Minimal harm 2024-04-12

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-05-15

G · Actual harm 2024-03-13

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-05-15

C · Minimal harm 2024-03-13

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 2024-03-25

D · Potential for more than minimal harm 2023-08-17

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-08-17

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 2023-08-25

F · Potential for more than minimal harm 2023-08-01

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 2023-08-10

E · Potential for more than minimal harm 2023-08-01

F800 · Nutrition and Dietary Deficiencies

Health

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Corrected 2023-08-10

D · Potential for more than minimal harm 2023-08-01

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 2023-08-10

D · Potential for more than minimal harm 2023-08-01

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 2023-08-10

D · Potential for more than minimal harm 2023-08-01

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-08-10

F · Potential for more than minimal harm 2023-06-08

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 2023-06-30

F · Potential for more than minimal harm 2023-06-08

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-06-30

E · Potential for more than minimal harm 2023-06-08

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 2023-06-30

E · Potential for more than minimal harm 2023-06-08

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 2023-06-30

D · Potential for more than minimal harm 2023-06-08

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-08

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 2023-06-30

D · Potential for more than minimal harm 2023-06-08

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-08

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-08

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-06-08

F925 · Environmental Deficiencies

Health

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

Corrected 2023-06-30

C · Minimal harm 2023-06-08

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-06-30

D · Potential for more than minimal harm 2023-05-16

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 2023-05-22

F · Potential for more than minimal harm 2021-05-14

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 2021-06-25

F · Potential for more than minimal harm 2021-05-14

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 2021-06-25

F · Potential for more than minimal harm 2021-05-14

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 2021-06-25

F · Potential for more than minimal harm 2021-05-14

F809 · Nutrition and Dietary Deficiencies

Health

Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

Corrected 2021-06-25

F · Potential for more than minimal harm 2021-05-14

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 2021-06-25

F · Potential for more than minimal harm 2021-05-14

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2021-06-25

E · Potential for more than minimal harm 2021-05-14

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2021-06-25

E · Potential for more than minimal harm 2021-05-14

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 2021-06-25

E · Potential for more than minimal harm 2021-05-14

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 2021-06-25

E · Potential for more than minimal harm 2021-05-14

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-06-25

E · Potential for more than minimal harm 2021-05-14

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2021-06-25

E · Potential for more than minimal harm 2021-05-14

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 2021-06-25

D · Potential for more than minimal harm 2021-05-14

F685 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-06-25

D · Potential for more than minimal harm 2021-05-14

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-06-25

D · Potential for more than minimal harm 2021-05-14

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2021-06-25

D · Potential for more than minimal harm 2021-05-14

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2021-06-25

D · Potential for more than minimal harm 2021-05-14

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2021-06-25

K · Immediate jeopardy 2019-03-18

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2019-04-04

J · Immediate jeopardy 2019-03-18

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 2019-04-04

F · Potential for more than minimal harm 2019-03-18

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 2019-04-04

F · Potential for more than minimal harm 2019-03-18

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 2019-04-04

F · Potential for more than minimal harm 2019-03-18

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 2019-04-04

E · Potential for more than minimal harm 2019-03-18

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2019-04-04

E · Potential for more than minimal harm 2019-03-18

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 2019-04-04