Columbus, OH

Scioto Rehabilitation & Care Center

1-star overall rating with 1-star inspections with $152,103 in total fines with 34 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle

433 Obetz Road, Columbus, OH

(614) 491-2000

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

125

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

David Oberlander

Operator or chain grouping

Approved since

2003-02-28

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

0.56

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

1.55

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.20

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

4.31

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

2.11

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.51

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.50

CMS adjusted RN staffing hours

Adjusted total hours

3.90

CMS adjusted total nurse staffing hours

Case-mix index

1.51

Higher values indicate more complex resident acuity

RN turnover

82%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

77%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,413

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

Performance score

26.83

Composite VBP score used to determine payment impact.

Payment multiplier

0.9843

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

1.82

Baseline 22.48% · Performance 21.21% · Measure score 1.82 · Achievement 0 · Improvement 1.82

Healthcare-associated infections

4.24

Baseline 7.24% · Performance 6.57% · Measure score 4.24 · Achievement 4.24 · Improvement 2.49

Total nurse turnover

2.97

Baseline 55.26% · Performance 51.55% · Measure score 2.97 · Achievement 2.97 · Improvement 0.72

Adjusted total nurse staffing

1.71

Baseline 3.05 hours · Performance 3.56 hours · Measure score 1.71 · Achievement 1.71 · Improvement 1.38

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	12.28%	10.72% 1.6 pts worse	No Different than the National Rate · Eligible stays 97 · Observed rate 18.56% · Lower 95% interval 8.5%
Discharge to community	50.13%	50.57% 0.4 pts worse	No Different than the National Rate · Eligible stays 85 · Observed rate 42.35% · Lower 95% interval 40.32%
Medicare spending per beneficiary	0.91	1.02 0.1 pts better
Drug regimen review with follow-up	94.41%	95.27% 0.9 pts worse	Numerator 169 · Denominator 179
Falls with major injury	0.56%	0.77% 0.2 pts better	Numerator 1 · Denominator 179
Discharge self-care score	52.73%	53.69% 1 pts worse	Numerator 58 · Denominator 110
Discharge mobility score	39.09%	50.94% 11.8 pts worse	Numerator 43 · Denominator 110
Pressure ulcers or injuries, new or worsened	3.91%	2.29% 1.6 pts worse	Numerator 7 · Denominator 179 · Adjusted rate 3.73%
Healthcare-associated infections requiring hospitalization	6.57%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 57 · Observed rate 5.26% · Lower 95% interval 3.29%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 169
Staff flu vaccination coverage	22.22%	42% 19.8 pts worse	Numerator 38 · Denominator 171
Discharge function score	52.73%	56.45% 3.7 pts worse	Numerator 58 · Denominator 110
Transfer of health information to provider	90.77%	95.95% 5.2 pts worse	Numerator 59 · Denominator 65
Transfer of health information to patient	93.22%	96.28% 3.1 pts worse	Numerator 55 · Denominator 59
Resident COVID-19 vaccinations up to date	6.17%	25.2% 19 pts worse	Numerator 5 · Denominator 81

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.8 About the same	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 3.2 · Expected 3.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	0.4	1.8 1.4 pts better	1.8 1.4 pts better	Long Stay · 20240701-20250630 · Adjusted 0.4 · Observed 0.6 · Expected 2.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	84.1%	92.4% 8.3 pts worse	93.4% 9.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 71.2% · Q2 90.0% · Q3 80.0% · Q4 95.2% · 4Q avg 84.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	86.9%	94.5% 7.6 pts worse	95.5% 8.6 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 86.9%
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 2.5% · Q2 2.5% · Q3 2.4% · Q4 1.2% · 4Q avg 2.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	31.6%	26.1% 5.5 pts worse	11.4% 20.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 58.7% · Q3 36.0% · Q4 14.8% · 4Q avg 31.6%
Percentage of long-stay residents who lose too much weight	6.1%	6.2% 0.1 pts better	5.4% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 5.6% · Q3 5.3% · Q4 10.5% · 4Q avg 6.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	26.6%	25.4% 1.2 pts worse	19.6% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 29.2% · Q3 26.2% · Q4 33.3% · 4Q avg 26.6%
Percentage of long-stay residents who received an antipsychotic medication	16.9%	11.5% 5.4 pts worse	16.7% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 21.9% · Q2 18.0% · Q3 14.5% · Q4 12.9% · 4Q avg 16.9% · 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	16.0%	7.7% 8.3 pts worse	16.3% 0.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.0% · Q2 26.1% · Q3 11.6% · Q4 14.7% · 4Q avg 16.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.1%	6.2% 4.9 pts worse	14.9% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 21.5% · Q3 7.2% · Q4 10.1% · 4Q avg 11.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.2%	0.2% About the same	1.0% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.6%	0.5% 0.1 pts worse	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	28.5%	21.7% 6.8 pts worse	19.8% 8.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 30.2% · Q2 32.7% · Q3 29.1% · Q4 22.5% · 4Q avg 28.5%
Percentage of long-stay residents with pressure ulcers	6.0%	3.7% 2.3 pts worse	5.1% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 6.1% · Q3 5.2% · Q4 6.7% · 4Q avg 6.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	71.1%	78.1% 7 pts worse	81.7% 10.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 51.8% · Q2 83.1% · Q3 80.1% · Q4 70.4% · 4Q avg 71.1%
Percentage of short-stay residents who had an outpatient emergency department visit	8.5%	12.5% 4 pts better	12.0% 3.5 pts better	Short Stay · 20240701-20250630 · Adjusted 8.5% · Observed 10.0% · Expected 13.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	1.8%	1.2% 0.6 pts worse	1.6% 0.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 2.4% · Q3 2.7% · Q4 1.3% · 4Q avg 1.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	73.1%	75.6% 2.5 pts worse	79.7% 6.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 73.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	27.8%	25.1% 2.7 pts worse	23.9% 3.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 27.8% · Observed 34.0% · Expected 29.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-31 · Fire 2024-12-31

34 health deficiencies

Top issue: Quality of Life and Care (10 deficiencies)

14 fire-safety deficiencies

Top issue: Emergency Preparedness (6 deficiencies)

Cycle 2 Health 2023-11-01 · Fire 2023-11-01

25 health deficiencies

Top issue: Quality of Life and Care (9 deficiencies)

11 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 3 Health 2021-10-25 · Fire 2021-10-25

27 health deficiencies

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

5 fire-safety deficiencies

Top issue: Egress (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-31

E15 · Emergency Preparedness Deficiencies

Fire Safety

Address subsistence needs for staff and patients.

Corrected 2025-02-06

F · Potential for more than minimal harm 2024-12-31

E20 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures including evacuation.

Corrected 2025-02-06

F · Potential for more than minimal harm 2024-12-31

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2025-02-06

F · Potential for more than minimal harm 2024-12-31

E25 · Emergency Preparedness Deficiencies

Fire Safety

Create arrangements with other facilities to receive patients.

Corrected 2025-02-06

F · Potential for more than minimal harm 2024-12-31

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2025-02-06

F · Potential for more than minimal harm 2024-12-31

E32 · Emergency Preparedness Deficiencies

Fire Safety

Provide primary/alternate means for communication.

Corrected 2025-02-06

F · Potential for more than minimal harm 2024-12-31

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-02-06

F · Potential for more than minimal harm 2024-12-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-07

F · Potential for more than minimal harm 2024-12-31

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-02-06

E · Potential for more than minimal harm 2024-12-31

K111 · Construction Deficiencies

Fire Safety

Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.

Corrected 2025-02-06

E · Potential for more than minimal harm 2024-12-31

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2025-02-06

E · Potential for more than minimal harm 2024-12-31

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 2025-02-06

E · Potential for more than minimal harm 2024-12-31

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-02-06

E · Potential for more than minimal harm 2024-12-31

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-02-06

F · Potential for more than minimal harm 2023-11-01

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-02-28

F · Potential for more than minimal harm 2023-11-01

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-02-28

F · Potential for more than minimal harm 2023-11-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-02-28

F · Potential for more than minimal harm 2023-11-01

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 2024-02-28

F · Potential for more than minimal harm 2023-11-01

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-02-28

F · Potential for more than minimal harm 2023-11-01

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 2024-02-28

F · Potential for more than minimal harm 2023-11-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2024-02-28

F · Potential for more than minimal harm 2023-11-01

K922 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use and maintenance of medical gas equipment.

Corrected 2024-02-28

E · Potential for more than minimal harm 2023-11-01

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-02-28

E · Potential for more than minimal harm 2023-11-01

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-02-28

E · Potential for more than minimal harm 2023-11-01

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-28

F · Potential for more than minimal harm 2021-10-25

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2021-11-24

F · Potential for more than minimal harm 2021-10-25

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 2021-11-24

E · Potential for more than minimal harm 2021-10-25

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 2021-11-24

E · Potential for more than minimal harm 2021-10-25

K252 · Egress Deficiencies

Fire Safety

Provide at least two remote exits on each floor or fire section of the building.

Corrected 2021-11-24

E · Potential for more than minimal harm 2021-10-25

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-11-24

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-31

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-07

D · Potential for more than minimal harm 2025-12-31

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 2026-01-07

D · Potential for more than minimal harm 2025-10-22

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-12-09

D · Potential for more than minimal harm 2025-10-22

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-09

E · Potential for more than minimal harm 2025-10-09

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-11-20

D · Potential for more than minimal harm 2025-10-09

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 2025-11-20

D · Potential for more than minimal harm 2025-10-09

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-11-20

D · Potential for more than minimal harm 2025-10-09

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-11-20

D · Potential for more than minimal harm 2025-10-09

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 2025-11-20

D · Potential for more than minimal harm 2025-10-09

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-11-20

D · Potential for more than minimal harm 2025-10-09

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 2025-11-20

E · Potential for more than minimal harm 2025-03-11

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 2025-04-21

D · Potential for more than minimal harm 2025-03-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-04-21

G · Actual harm 2024-12-31

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-06

F · Potential for more than minimal harm 2024-12-31

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-02-06

F · Potential for more than minimal harm 2024-12-31

F850 · Administration Deficiencies

Health

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2025-02-06

F · Potential for more than minimal harm 2024-12-31

F925 · Environmental Deficiencies

Health

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

Corrected 2025-02-06

E · Potential for more than minimal harm 2024-12-31

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 2025-02-06

E · Potential for more than minimal harm 2024-12-31

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 2025-02-06

D · Potential for more than minimal harm 2024-12-31

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 2025-02-06

D · Potential for more than minimal harm 2024-12-31

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-02-06

D · Potential for more than minimal harm 2024-12-31

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2025-02-06

D · Potential for more than minimal harm 2024-12-31

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 2025-02-06

D · Potential for more than minimal harm 2024-12-31

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 2025-02-06

D · Potential for more than minimal harm 2024-12-31

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 2025-02-06

D · Potential for more than minimal harm 2024-12-31

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 2025-02-06

D · Potential for more than minimal harm 2024-12-31

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2025-02-06

D · Potential for more than minimal harm 2024-12-31

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 2025-02-06

D · Potential for more than minimal harm 2024-12-31

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-02-06

D · Potential for more than minimal harm 2024-12-31

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2025-02-06

D · Potential for more than minimal harm 2024-12-31

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 2025-02-06

D · Potential for more than minimal harm 2024-12-31

F770 · Administration Deficiencies

Health

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

Corrected 2025-02-06

D · Potential for more than minimal harm 2024-12-31

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 2025-02-06

D · Potential for more than minimal harm 2024-12-31

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-02-06

D · Potential for more than minimal harm 2024-09-25

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 2024-10-05

G · Actual harm 2024-06-24

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 2024-06-30

C · Minimal harm 2024-06-24

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2024-06-30

D · Potential for more than minimal harm 2024-02-20

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-02-28

D · Potential for more than minimal harm 2024-02-20

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-02-28

D · Potential for more than minimal harm 2024-02-20

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 2024-02-28

D · Potential for more than minimal harm 2024-02-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-28

F · Potential for more than minimal harm 2023-11-01

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 2024-02-28

F · Potential for more than minimal harm 2023-11-01

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 2024-02-28