Elk Grove Village, IL

Pearl Of Elk Grove, The

2-star overall rating with 1-star inspections with $159,227 in total fines with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle

1920 Nerge Road, Elk Grove Village, IL

(847) 301-0550

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

190

Certified beds

Average residents

148

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pearl Healthcare

Operator or chain grouping

Approved since

1990-11-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

13 facilities

Chain averages 3 overall / 3 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

0.76

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.66

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

1.78

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.20

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.42

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

2.89

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.51

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.09

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.62

CMS adjusted RN staffing hours

Adjusted total hours

2.62

CMS adjusted total nurse staffing hours

Case-mix index

1.67

Higher values indicate more complex resident acuity

RN turnover

41%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

52%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,726

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

Performance score

Composite VBP score used to determine payment impact.

Payment multiplier

0.9803

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 21.64% · Performance 24.39% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.58% · Performance 7.95% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

Baseline 36.27% · Performance 99.22% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

Baseline 3.01 hours · Performance 2.02 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.68%	10.72% About the same	No Different than the National Rate · Eligible stays 339 · Observed rate 10.32% · Lower 95% interval 8.45%
Discharge to community	55.59%	50.57% 5 pts better	No Different than the National Rate · Eligible stays 332 · Observed rate 49.1% · Lower 95% interval 49.49%
Medicare spending per beneficiary	1	1.02 About the same
Drug regimen review with follow-up	99.49%	95.27% 4.2 pts better	Numerator 194 · Denominator 195
Falls with major injury	2.56%	0.77% 1.8 pts worse	Numerator 5 · Denominator 195
Discharge self-care score	60.71%	53.69% 7 pts better	Numerator 85 · Denominator 140
Discharge mobility score	63.57%	50.94% 12.6 pts better	Numerator 89 · Denominator 140
Pressure ulcers or injuries, new or worsened	4.62%	2.29% 2.3 pts worse	Numerator 9 · Denominator 195 · Adjusted rate 3.63%
Healthcare-associated infections requiring hospitalization	7.95%	7.12% 0.8 pts worse	No Different than the National Rate · Eligible stays 170 · Observed rate 8.82% · Lower 95% interval 5.19%
Staff COVID-19 vaccination coverage	2.17%	8.2% 6 pts worse	Numerator 3 · Denominator 138
Staff flu vaccination coverage	59.44%	42% 17.4 pts better	Numerator 107 · Denominator 180
Discharge function score	59.29%	56.45% 2.8 pts better	Numerator 83 · Denominator 140
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 50 · Denominator 50
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 69 · Denominator 69
Resident COVID-19 vaccinations up to date	18.56%	25.2% 6.6 pts worse	Numerator 18 · Denominator 97

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	2.0 0.5 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 2.3 · Expected 2.8 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	2.3 1.1 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.5 · Expected 2.1 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	91.9%	89.6% 2.3 pts better	93.4% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 89.9% · Q2 84.9% · Q3 99.3% · Q4 93.8% · 4Q avg 91.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.7%	91.6% 1.1 pts better	95.5% 2.8 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.7%
Percentage of long-stay residents experiencing one or more falls with major injury	1.7%	3.3% 1.6 pts better	3.3% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 2.2% · Q3 0.7% · Q4 0.8% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	97.2%	50.3% 46.9 pts worse	11.4% 85.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 98.5% · Q2 96.0% · Q3 95.9% · Q4 98.3% · 4Q avg 97.2%
Percentage of long-stay residents who lose too much weight	5.6%	6.5% 0.9 pts better	5.4% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 9.0% · Q3 2.7% · Q4 2.8% · 4Q avg 5.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	17.2%	18.5% 1.3 pts better	19.6% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 19.8% · Q2 19.8% · Q3 14.9% · Q4 14.0% · 4Q avg 17.2%
Percentage of long-stay residents who received an antipsychotic medication	18.6%	22.8% 4.2 pts better	16.7% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 18.3% · Q3 16.9% · Q4 19.3% · 4Q avg 18.6% · 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	9.6%	17.2% 7.6 pts better	16.3% 6.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 15.5% · Q3 10.5% · Q4 4.1% · 4Q avg 9.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	7.2%	15.0% 7.8 pts better	14.9% 7.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 12.7% · Q3 3.5% · Q4 2.9% · 4Q avg 7.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	1.1% 0.9 pts better	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.4%	1.7% 1.3 pts better	1.7% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.6%	21.3% 4.7 pts better	19.8% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.9% · Q2 16.8% · Q3 17.1% · Q4 17.7% · 4Q avg 16.6%
Percentage of long-stay residents with pressure ulcers	4.6%	5.2% 0.6 pts better	5.1% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.9% · Q2 6.3% · Q3 2.1% · Q4 3.0% · 4Q avg 4.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	58.3%	68.8% 10.5 pts worse	81.7% 23.4 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 49.2% · Q2 50.4% · Q3 67.5% · Q4 65.4% · 4Q avg 58.3%
Percentage of short-stay residents who had an outpatient emergency department visit	7.6%	14.0% 6.4 pts better	12.0% 4.4 pts better	Short Stay · 20240701-20250630 · Adjusted 7.6% · Observed 7.3% · Expected 10.7% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.7%	2.3% 0.6 pts better	1.6% 0.1 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 1.5% · Q3 0.0% · Q4 3.7% · 4Q avg 1.7% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	49.2%	63.0% 13.8 pts worse	79.7% 30.5 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 49.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.4%	26.2% 1.2 pts worse	23.9% 3.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.4% · Observed 25.8% · Expected 22.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-23 · Fire 2024-10-23

10 health deficiencies

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

9 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2023-09-15 · Fire 2023-09-15

32 health deficiencies

Top issue: Quality of Life and Care (11 deficiencies)

5 fire-safety deficiencies

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

Cycle 3 Health 2022-08-03 · Fire 2022-08-03

33 health deficiencies

Top issue: Quality of Life and Care (11 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-23

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-06

F · Potential for more than minimal harm 2024-10-23

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-11-06

F · Potential for more than minimal harm 2024-10-23

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 2024-11-06

F · Potential for more than minimal harm 2024-10-23

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-11-06

E · Potential for more than minimal harm 2024-10-23

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-11-06

E · Potential for more than minimal harm 2024-10-23

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-11-06

E · Potential for more than minimal harm 2024-10-23

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-11-06

E · Potential for more than minimal harm 2024-10-23

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-11-07

E · Potential for more than minimal harm 2024-10-23

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-11-06

F · Potential for more than minimal harm 2023-09-15

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2023-10-06

F · Potential for more than minimal harm 2023-09-15

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 2023-10-06

F · Potential for more than minimal harm 2023-09-15

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-10-06

F · Potential for more than minimal harm 2023-09-15

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-10-06

E · Potential for more than minimal harm 2023-09-15

K929 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

Corrected 2023-10-06

F · Potential for more than minimal harm 2022-08-03

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-09-01

E · Potential for more than minimal harm 2022-08-03

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 2022-08-25

E · Potential for more than minimal harm 2022-08-03

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 2022-08-25

E · Potential for more than minimal harm 2022-08-03

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-09-02

E · Potential for more than minimal harm 2022-08-03

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-09-07

E · Potential for more than minimal harm 2022-08-03

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-09-01

E · Potential for more than minimal harm 2022-08-03

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2022-09-07

E · Potential for more than minimal harm 2022-08-03

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-09-07

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-07-30

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 2025-08-05

G · Actual harm 2025-06-04

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 2025-06-16

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

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-05-12

E · Potential for more than minimal harm 2025-04-01

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 2025-04-08

E · Potential for more than minimal harm 2025-01-15

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-01-21

G · Actual harm 2025-01-02

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 2025-01-10

E · Potential for more than minimal harm 2024-12-17

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 2024-12-20

E · Potential for more than minimal harm 2024-11-08

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 2024-11-14

D · Potential for more than minimal harm 2024-11-08

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 2024-11-14

D · Potential for more than minimal harm 2024-11-08

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 2024-11-14

D · Potential for more than minimal harm 2024-11-08

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-11-14

D · Potential for more than minimal harm 2024-10-23

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-10-23

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 2024-11-05

D · Potential for more than minimal harm 2024-10-23

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-10-23

F758 · Pharmacy Service Deficiencies

Health

Corrected 2024-11-05

D · Potential for more than minimal harm 2024-10-23

F761 · Pharmacy Service Deficiencies

Health

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-10-23

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-11-05

L · Immediate jeopardy 2024-09-26

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-10-01

J · Immediate jeopardy 2024-09-26

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 2024-10-01

D · Potential for more than minimal harm 2024-09-26

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 2024-10-01

D · Potential for more than minimal harm 2024-09-26

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2024-10-01

D · Potential for more than minimal harm 2024-08-20

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-08-22

D · Potential for more than minimal harm 2024-08-10

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 2024-08-22

D · Potential for more than minimal harm 2024-08-10

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 2024-08-22

G · Actual harm 2024-07-11

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 2024-07-24

G · Actual harm 2024-06-14

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-26

D · Potential for more than minimal harm 2024-06-14

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-26

H · Actual harm 2024-06-07

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 2024-06-23

H · Actual harm 2024-06-07

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-06-21

F · Potential for more than minimal harm 2024-06-07

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 2024-06-21

E · Potential for more than minimal harm 2024-06-07

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 2024-06-21

D · Potential for more than minimal harm 2024-06-07

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 2024-06-21

D · Potential for more than minimal harm 2024-06-07

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-06-21

G · Actual harm 2024-03-26

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 2024-04-02

G · Actual harm 2023-12-19

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 2023-12-27

D · Potential for more than minimal harm 2023-12-19

F577 · Resident Rights Deficiencies

Health

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

Corrected 2023-12-27

E · Potential for more than minimal harm 2023-11-15

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 2023-11-22

E · Potential for more than minimal harm 2023-11-15

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 2023-11-22

E · Potential for more than minimal harm 2023-10-01

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-10-04

E · Potential for more than minimal harm 2023-09-15

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 2023-09-25

E · Potential for more than minimal harm 2023-09-15

F761 · Pharmacy Service Deficiencies

Health

Corrected 2023-09-25

E · Potential for more than minimal harm 2023-09-15

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-09-15

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-09-15

F676 · Quality of Life and Care Deficiencies

Health

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-09-15

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-09-15

F694 · Quality of Life and Care Deficiencies

Health

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-09-15

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-09-25

D · Potential for more than minimal harm 2023-07-16

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2023-07-20

D · Potential for more than minimal harm 2023-07-16

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 2023-07-20

E · Potential for more than minimal harm 2023-06-22

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 2023-06-26

D · Potential for more than minimal harm 2023-06-22

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-06-26

D · Potential for more than minimal harm 2023-06-02

F660 · Resident Assessment and Care Planning Deficiencies

Health

Plan the resident's discharge to meet the resident's goals and needs.

Corrected 2023-06-09

E · Potential for more than minimal harm 2023-04-12

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-04-25

F · Potential for more than minimal harm 2023-03-22

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 2023-03-30

F · Potential for more than minimal harm 2023-03-22

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-03-30

E · Potential for more than minimal harm 2023-03-22

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 2023-03-30

E · Potential for more than minimal harm 2023-03-22

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 2023-03-30

E · Potential for more than minimal harm 2023-03-22

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 2023-03-30

E · Potential for more than minimal harm 2023-03-22

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2023-03-30

F · Potential for more than minimal harm 2022-08-03

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 2022-08-23

F · Potential for more than minimal harm 2022-08-03

F886 · Infection Control Deficiencies

Health

Perform COVID19 testing on residents and staff.

Corrected 2022-08-23

E · Potential for more than minimal harm 2022-08-03

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 2022-08-23

E · Potential for more than minimal harm 2022-08-03