Long Beach, CA

Sunset Villa Post Acute

2-star overall rating with 1-star inspections with $207,206 in total fines with 25 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

3232 E. Artesia Blvd., Long Beach, CA

(562) 422-9219

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

199

Certified beds

Average residents

175

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Pacs Group

Operator or chain grouping

Approved since

1989-05-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

264 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

0.22

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

1.25

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.59

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

4.05

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.47

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.72

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.18

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.11

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.20

CMS adjusted RN staffing hours

Adjusted total hours

3.71

CMS adjusted total nurse staffing hours

Case-mix index

1.49

Higher values indicate more complex resident acuity

RN turnover

54%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

49%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,052

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

Performance score

18.19

Composite VBP score used to determine payment impact.

Payment multiplier

0.9819

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.3

Baseline 21.59% · Performance 19.44% · Measure score 4.3 · Achievement 4.3 · Improvement 4.22

Healthcare-associated infections

Baseline 5.65% · Performance 7.80% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

1.32

Baseline 35.21% · Performance 58.29% · Measure score 1.32 · Achievement 1.32 · Improvement 0

Adjusted total nurse staffing

1.66

Baseline 3.98 hours · Performance 3.55 hours · Measure score 1.66 · Achievement 1.66 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.28%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 242 · Observed rate 9.09% · Lower 95% interval 7.47%
Discharge to community	47.19%	50.57% 3.4 pts worse	No Different than the National Rate · Eligible stays 147 · Observed rate 37.41% · Lower 95% interval 38.48%
Medicare spending per beneficiary	1.42	1.02 0.4 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 246 · Denominator 246
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 246
Discharge self-care score	55.74%	53.69% 2.1 pts better	Numerator 68 · Denominator 122
Discharge mobility score	44.26%	50.94% 6.7 pts worse	Numerator 54 · Denominator 122
Pressure ulcers or injuries, new or worsened	0.41%	2.29% 1.9 pts better	Numerator 1 · Denominator 246 · Adjusted rate 0.3%
Healthcare-associated infections requiring hospitalization	7.79%	7.12% 0.7 pts worse	No Different than the National Rate · Eligible stays 181 · Observed rate 7.73% · Lower 95% interval 5.07%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 281
Staff flu vaccination coverage	51.96%	42% 10 pts better	Numerator 212 · Denominator 408
Discharge function score	59.84%	56.45% 3.4 pts better	Numerator 73 · Denominator 122
Transfer of health information to provider	98.91%	95.95% 3 pts better	Numerator 91 · Denominator 92
Transfer of health information to patient	94.34%	96.28% 1.9 pts worse	Numerator 50 · Denominator 53
Resident COVID-19 vaccinations up to date	27.82%	25.2% 2.6 pts better	Numerator 37 · Denominator 133

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	3.2	2.3 0.9 pts worse	1.9 1.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.2 · Observed 4.4 · Expected 2.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.6 0.4 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.4 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	98.5% 1.5 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	98.2% 1.8 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	0.6%	1.6% 1 pts better	3.3% 2.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 1.2% · Q4 0.6% · 4Q avg 0.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	15.5%	6.8% 8.7 pts worse	11.4% 4.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 15.2% · Q3 14.1% · Q4 15.1% · 4Q avg 15.5%
Percentage of long-stay residents who lose too much weight	0.5%	4.1% 3.6 pts better	5.4% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.7% · Q4 1.4% · 4Q avg 0.5%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.3%	13.7% 4.4 pts better	19.6% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 8.6% · Q3 9.8% · Q4 9.9% · 4Q avg 9.3%
Percentage of long-stay residents who were physically restrained	0.0%	0.4% 0.4 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	5.7%	11.0% 5.3 pts better	16.3% 10.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q2 0.0% · Q3 7.1% · Q4 10.7% · 4Q avg 5.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.4%	10.7% 0.7 pts worse	14.9% 3.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.7% · Q2 8.8% · Q3 7.8% · Q4 16.2% · 4Q avg 11.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.0% 1 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%	1.2% 1.2 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	3.8%	10.9% 7.1 pts better	19.8% 16 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 2.9% · Q3 2.4% · Q4 4.5% · 4Q avg 3.8%
Percentage of long-stay residents with pressure ulcers	0.5%	4.7% 4.2 pts better	5.1% 4.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.6% · Q2 1.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.8%	94.0% 5.8 pts better	81.7% 18.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8%
Percentage of short-stay residents who had an outpatient emergency department visit	5.5%	11.2% 5.7 pts better	12.0% 6.5 pts better	Short Stay · 20240701-20250630 · Adjusted 5.5% · Observed 6.2% · Expected 12.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.5% 1.5 pts better	1.6% 1.6 pts better	Short 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 short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	93.2% 6.8 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	29.4%	23.2% 6.2 pts worse	23.9% 5.5 pts worse	Short Stay · 20240701-20250630 · Adjusted 29.4% · Observed 32.1% · Expected 26.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-06 · Fire 2025-03-06

25 health deficiencies

Top issue: Resident Assessment and Care Planning (8 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-03-26 · Fire 2024-03-26

32 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-05-09 · Fire 2022-05-09

42 health deficiencies

Top issue: Quality of Life and Care (12 deficiencies)

2 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2025-03-06

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-04

E · Potential for more than minimal harm 2024-03-26

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-04-18

E · Potential for more than minimal harm 2024-03-26

K211 · Egress Deficiencies

Fire Safety

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

Corrected 2024-04-18

E · Potential for more than minimal harm 2024-03-26

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2024-04-18

E · Potential for more than minimal harm 2024-03-26

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-04-18

D · Potential for more than minimal harm 2024-03-26

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 2024-04-18

D · Potential for more than minimal harm 2024-03-26

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-04-18

D · Potential for more than minimal harm 2024-03-26

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 2024-04-18

C · Minimal harm 2024-03-26

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-04-18

D · Potential for more than minimal harm 2022-05-09

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-06-02

D · Potential for more than minimal harm 2022-05-09

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-06-02

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-21

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 2025-12-17

D · Potential for more than minimal harm 2025-08-27

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2025-09-17

D · Potential for more than minimal harm 2025-08-27

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 2025-09-17

D · Potential for more than minimal harm 2025-07-10

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 2025-07-31

D · Potential for more than minimal harm 2025-07-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-07-31

D · Potential for more than minimal harm 2025-07-10

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 2025-07-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-31

E · Potential for more than minimal harm 2025-03-06

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 2025-04-05

E · Potential for more than minimal harm 2025-03-06

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-03-06

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2025-04-05

E · Potential for more than minimal harm 2025-03-06

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 2025-04-05

E · Potential for more than minimal harm 2025-03-06

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 2025-04-05

E · Potential for more than minimal harm 2025-03-06

F790 · Quality of Life and Care Deficiencies

Health

Provide routine and 24-hour emergency dental care for each resident.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-03-06

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-03-06

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-03-06

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-03-06

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-03-06

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-03-06

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 2025-04-05

D · Potential for more than minimal harm 2025-03-06

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 2025-04-05

D · Potential for more than minimal harm 2025-03-06

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 2025-04-05

D · Potential for more than minimal harm 2025-03-06

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 2025-04-05

D · Potential for more than minimal harm 2025-03-06

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-03-06

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-03-06

F887 · Infection Control Deficiencies

Health

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Corrected 2025-04-05

D · Potential for more than minimal harm 2025-01-27

F555 · Resident Rights Deficiencies

Health

Honor the resident's right to choose his or her attending physician.

Corrected 2025-02-18

G · Actual harm 2024-10-10

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-11-04

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

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 2024-11-04

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

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-11-04

D · Potential for more than minimal harm 2024-09-04

F552 · Resident Rights Deficiencies

Health

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

Corrected 2024-09-04

G · Actual harm 2024-07-30

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-20

D · Potential for more than minimal harm 2024-07-05

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 2024-07-26

D · Potential for more than minimal harm 2024-07-05

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-07-26

E · Potential for more than minimal harm 2024-05-29

F728 · Nursing and Physician Services Deficiencies

Health

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2024-06-18

K · Immediate jeopardy 2024-04-27

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-05-21

E · Potential for more than minimal harm 2024-04-27

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 2024-06-18

G · Actual harm 2024-03-26

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-18

G · Actual harm 2024-03-26

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-18

F · Potential for more than minimal harm 2024-03-26

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 2024-04-18

E · Potential for more than minimal harm 2024-03-26

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 2024-04-18

E · Potential for more than minimal harm 2024-03-26

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-04-18

E · Potential for more than minimal harm 2024-03-26

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 2024-04-18

E · Potential for more than minimal harm 2024-03-26

F867 · Administration Deficiencies

Health

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

Corrected 2024-06-18

E · Potential for more than minimal harm 2024-03-26

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-18

D · Potential for more than minimal harm 2024-03-26

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 2024-04-18

D · Potential for more than minimal harm 2024-03-26

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 2024-06-18

D · Potential for more than minimal harm 2024-03-26

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 2024-04-18

D · Potential for more than minimal harm 2024-03-26

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-04-18

D · Potential for more than minimal harm 2024-03-26

F687 · Quality of Life and Care Deficiencies

Health

Provide appropriate foot care.

Corrected 2024-04-18

D · Potential for more than minimal harm 2024-03-26

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-18

D · Potential for more than minimal harm 2024-03-26

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2024-04-18

D · Potential for more than minimal harm 2024-03-26

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-04-18

D · Potential for more than minimal harm 2024-03-26

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-06-18

E · Potential for more than minimal harm 2024-03-11

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-03-11

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 2024-04-01

D · Potential for more than minimal harm 2024-03-11

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 2024-04-01

D · Potential for more than minimal harm 2024-03-11

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-01

D · Potential for more than minimal harm 2024-02-21

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 2024-03-18

D · Potential for more than minimal harm 2024-02-21

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-03-18

D · Potential for more than minimal harm 2024-01-24

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-02-13

D · Potential for more than minimal harm 2024-01-24

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-02-13

E · Potential for more than minimal harm 2023-12-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-22

G · Actual harm 2023-10-18

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 2023-11-10

D · Potential for more than minimal harm 2023-09-12

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-10-06

F · Potential for more than minimal harm 2023-08-05

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 2023-08-25

F · Potential for more than minimal harm 2023-08-05

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-08-25

F · Potential for more than minimal harm 2023-08-05

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2023-08-25

D · Potential for more than minimal harm 2023-07-20

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 2023-08-28

G · Actual harm 2022-05-09

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 2022-06-29

G · Actual harm 2022-05-09

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 2022-07-15