Mamaroneck, NY

Sarah Neuman Center for Rehabilitation and Nursing

2-star overall rating with 1-star inspections with abuse icon flag with $163,020 in total fines with 16 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle

845 Palmer Avenue, Mamaroneck, NY

(914) 698-6005

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

300

Certified beds

Average residents

278

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1969-12-16

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.71

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.43

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.01

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.16

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.14

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.69

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.48

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.06

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.73

CMS adjusted RN staffing hours

Adjusted total hours

3.26

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

16%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

18%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

491

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

Performance score

68.90

Composite VBP score used to determine payment impact.

Payment multiplier

1.0218

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

8.91

Baseline 18.16% · Performance 17.30% · Measure score 8.91 · Achievement 8.91 · Improvement 7.06

Healthcare-associated infections

Baseline 5.75% · Performance 4.87% · Measure score 10 · Achievement 10 · Improvement 9

Total nurse turnover

8.65

Baseline 22.71% · Performance 28.32% · Measure score 8.65 · Achievement 8.65 · Improvement 0

Adjusted total nurse staffing

Baseline 2.88 hours · Performance 2.97 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.77%	10.72% 1 pts better	No Different than the National Rate · Eligible stays 496 · Observed rate 9.27% · Lower 95% interval 7.47%
Discharge to community	63.69%	50.57% 13.1 pts better	Better than the National Rate · Eligible stays 454 · Observed rate 54.85% · Lower 95% interval 58.25%
Medicare spending per beneficiary	0.89	1.02 0.1 pts better
Drug regimen review with follow-up	99.37%	95.27% 4.1 pts better	Numerator 317 · Denominator 319
Falls with major injury	0.63%	0.77% 0.1 pts better	Numerator 2 · Denominator 319
Discharge self-care score	57.38%	53.69% 3.7 pts better	Numerator 140 · Denominator 244
Discharge mobility score	65.16%	50.94% 14.2 pts better	Numerator 159 · Denominator 244
Pressure ulcers or injuries, new or worsened	3.13%	2.29% 0.8 pts worse	Numerator 10 · Denominator 319 · Adjusted rate 2.74%
Healthcare-associated infections requiring hospitalization	4.87%	7.12% 2.2 pts better	No Different than the National Rate · Eligible stays 272 · Observed rate 3.68% · Lower 95% interval 2.59%
Staff COVID-19 vaccination coverage	2.57%	8.2% 5.6 pts worse	Numerator 11 · Denominator 428
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	63.93%	56.45% 7.5 pts better	Numerator 156 · Denominator 244
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 64 · Denominator 64
Transfer of health information to patient	98.8%	96.28% 2.5 pts better	Numerator 165 · Denominator 167
Resident COVID-19 vaccinations up to date	17.51%	25.2% 7.7 pts worse	Numerator 31 · Denominator 177

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	1.7 0.6 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.9	1.3 0.4 pts better	1.8 0.9 pts better	Long Stay · 20240701-20250630 · Adjusted 0.9 · Observed 0.8 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	91.3%	91.2% 0.1 pts better	93.4% 2.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 95.5% · Q2 94.6% · Q3 90.1% · Q4 84.8% · 4Q avg 91.3%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.0%	95.3% 2.7 pts better	95.5% 2.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.1%	3.0% 1.1 pts worse	3.3% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 5.0% · Q3 3.9% · Q4 3.3% · 4Q avg 4.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	2.3%	18.5% 16.2 pts better	11.4% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.5% · Q3 0.0% · Q4 8.5% · 4Q avg 2.3%
Percentage of long-stay residents who lose too much weight	6.9%	6.1% 0.8 pts worse	5.4% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 6.0% · Q3 6.0% · Q4 7.3% · 4Q avg 6.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.2%	13.5% 3.3 pts better	19.6% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 11.6% · Q3 9.0% · Q4 10.6% · 4Q avg 10.2%
Percentage of long-stay residents who received an antipsychotic medication	17.6%	14.8% 2.8 pts worse	16.7% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 19.3% · Q2 17.6% · Q3 17.4% · Q4 16.2% · 4Q avg 17.6% · 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	13.1%	15.1% 2 pts better	16.3% 3.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.2% · Q2 14.0% · Q3 6.8% · Q4 20.7% · 4Q avg 13.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	13.7%	15.5% 1.8 pts better	14.9% 1.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.6% · Q2 10.8% · Q3 11.4% · Q4 21.6% · 4Q avg 13.7% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.6%	0.6% About the same	1.0% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.3% · Q2 0.3% · Q3 1.6% · Q4 0.3% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	1.4% 0.8 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.0% · Q3 1.7% · Q4 0.4% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.4%	20.8% 1.6 pts worse	19.8% 2.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 26.9% · Q3 18.9% · Q4 19.9% · 4Q avg 22.4%
Percentage of long-stay residents with pressure ulcers	4.8%	6.9% 2.1 pts better	5.1% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 3.9% · Q3 3.8% · Q4 4.7% · 4Q avg 4.8% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	52.0%	76.7% 24.7 pts worse	81.7% 29.7 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 53.1% · Q2 58.3% · Q3 55.2% · Q4 39.9% · 4Q avg 52.0%
Percentage of short-stay residents who had an outpatient emergency department visit	9.2%	9.7% 0.5 pts better	12.0% 2.8 pts better	Short Stay · 20240701-20250630 · Adjusted 9.2% · Observed 8.9% · Expected 10.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.5%	1.2% 0.3 pts worse	1.6% 0.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.0% · Q3 1.1% · Q4 1.9% · 4Q avg 1.5% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	49.8%	78.8% 29 pts worse	79.7% 29.9 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 49.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	20.7%	20.6% 0.1 pts worse	23.9% 3.2 pts better	Short Stay · 20240701-20250630 · Adjusted 20.7% · Observed 19.3% · Expected 22.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-30 · Fire 2025-01-30

16 health deficiencies

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

12 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 2 Health 2022-06-06 · Fire 2022-06-06

9 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)

14 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 3 Health 2018-12-19 · Fire 2018-12-19

6 health deficiencies

Top issue: Pharmacy Service (2 deficiencies)

7 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-30

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-29

F · Potential for more than minimal harm 2025-01-30

K901 · Electrical Deficiencies

Fire Safety

Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.

Corrected 2025-03-29

F · Potential for more than minimal harm 2025-01-30

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-03-29

E · Potential for more than minimal harm 2025-01-30

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2025-03-17

E · Potential for more than minimal harm 2025-01-30

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2025-03-29

E · Potential for more than minimal harm 2025-01-30

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-03-29

E · Potential for more than minimal harm 2025-01-30

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-03-29

D · Potential for more than minimal harm 2025-01-30

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-03-29

D · Potential for more than minimal harm 2025-01-30

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-18

D · Potential for more than minimal harm 2025-01-30

K374 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-18

D · Potential for more than minimal harm 2025-01-30

K541 · Services Deficiencies

Fire Safety

Install properly constructed and protected linen or trash chutes.

Corrected 2025-03-29

D · Potential for more than minimal harm 2025-01-30

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-03-29

E · Potential for more than minimal harm 2022-06-06

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2022-07-28

E · Potential for more than minimal harm 2022-06-06

K224 · Egress Deficiencies

Fire Safety

Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.

Corrected 2022-07-28

E · Potential for more than minimal harm 2022-06-06

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-07-28

E · Potential for more than minimal harm 2022-06-06

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-07-28

E · Potential for more than minimal harm 2022-06-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-07-28

E · Potential for more than minimal harm 2022-06-06

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2022-07-28

E · Potential for more than minimal harm 2022-06-06

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-07-28

E · Potential for more than minimal harm 2022-06-06

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2022-07-28

E · Potential for more than minimal harm 2022-06-06

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-07-28

D · Potential for more than minimal harm 2022-06-06

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2022-07-28

D · Potential for more than minimal harm 2022-06-06

K271 · Egress Deficiencies

Fire Safety

Have exits that are accessible at all times.

Corrected 2022-07-28

D · Potential for more than minimal harm 2022-06-06

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2022-07-28

D · Potential for more than minimal harm 2022-06-06

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2022-07-28

D · Potential for more than minimal harm 2022-06-06

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-07-28

E · Potential for more than minimal harm 2018-12-19

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2019-02-17

E · Potential for more than minimal harm 2018-12-19

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2019-02-17

E · Potential for more than minimal harm 2018-12-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-02-17

D · Potential for more than minimal harm 2018-12-19

K224 · Egress Deficiencies

Fire Safety

Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion.

Corrected 2019-02-17

D · Potential for more than minimal harm 2018-12-19

K281 · Egress Deficiencies

Fire Safety

Install proper backup exit lighting.

Corrected 2019-02-17

D · Potential for more than minimal harm 2018-12-19

K921 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that testing and maintenance of electrical equipment is performed.

Corrected 2019-02-17

C · Minimal harm 2018-12-19

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2019-01-25

Inspection history

Recent health citations

G · Actual harm 2025-10-23

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 2026-01-29

F · Potential for more than minimal harm 2025-10-23

F867 · Administration Deficiencies

Health

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

Corrected 2026-01-29

D · Potential for more than minimal harm 2025-06-04

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 2025-07-31

D · Potential for more than minimal harm 2025-06-04

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-03-14

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 2025-04-29

H · Actual harm 2025-01-30

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 2025-03-24

E · Potential for more than minimal harm 2025-01-30

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-03-24

E · Potential for more than minimal harm 2025-01-30

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 2025-03-24

D · Potential for more than minimal harm 2025-01-30

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-01-30

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 2025-03-24

D · Potential for more than minimal harm 2025-01-30

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 2025-03-24

D · Potential for more than minimal harm 2025-01-30

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-01-30

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 2025-03-24

D · Potential for more than minimal harm 2025-01-30

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-01-30

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-01-30

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-01-30

F730 · Nursing and Physician Services Deficiencies

Health

Observe each nurse aide's job performance and give regular training.

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-01-30

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-01-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-24

D · Potential for more than minimal harm 2025-01-30

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2025-03-24

B · Minimal harm 2025-01-30

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2025-03-24

D · Potential for more than minimal 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 2025-03-15

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

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 2025-03-15

D · Potential for more than minimal harm 2024-07-12

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 2024-09-10

D · Potential for more than minimal harm 2024-05-09

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 2024-06-14

E · Potential for more than minimal harm 2018-12-19

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 2019-02-17

D · Potential for more than minimal harm 2018-12-19

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 2019-02-17

D · Potential for more than minimal harm 2018-12-19

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-02-17

D · Potential for more than minimal harm 2018-12-19

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 2019-02-17

D · Potential for more than minimal harm 2018-12-19

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2019-02-17

D · Potential for more than minimal harm 2018-12-19

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 2019-02-17

Penalties and ownership