Covina, CA

The Rowland

3-star overall rating with 2-star inspections with $30,421 in total fines with 16 recent health deficiencies with 13 fire-safety deficiencies in the latest cycle

330 W. Rowland Street, Covina, CA

(626) 967-2741

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 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

126

Certified beds

Average residents

105

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1980-01-01

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

0.29

Registered nurse staffing · state 0.65 · national 0.68

LPN hours / resident day

0.91

Licensed practical nurse staffing · state 1.22 · national 0.87

Aide hours / resident day

2.67

Nurse aide staffing · state 2.64 · national 2.35

Total nurse hours

3.86

All reported nurse hours · state 4.51 · national 3.89

Licensed hours

1.19

RN + LPN hours · state 1.87 · national 1.54

Weekend hours

3.58

Weekend nurse staffing · state 4.08 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.30

CMS adjusted RN staffing hours

Adjusted total hours

4.09

CMS adjusted total nurse staffing hours

Case-mix index

1.29

Higher values indicate more complex resident acuity

RN turnover

14%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

15%

Annual nurse turnover · state 38% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,095

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

Performance score

34.02

Composite VBP score used to determine payment impact.

Payment multiplier

0.9881

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Performance 22.17% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

Baseline 7.46% · Performance 8.69% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

8.38

Performance 29.41% · Measure score 8.38 · Achievement 8.38 · This facility did not have sufficient data to calculate a baseline period measure result.

Adjusted total nurse staffing

5.22

Baseline 3.81 hours · Performance 4.56 hours · Measure score 5.22 · Achievement 5.22 · Improvement 3.33

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.16%	10.72% 1.6 pts better	No Different than the National Rate · Eligible stays 47 · Observed rate 2.13% · Lower 95% interval 5.74%
Discharge to community	42.06%	50.57% 8.5 pts worse	No Different than the National Rate · Eligible stays 40 · Observed rate 30% · Lower 95% interval 29.27%
Medicare spending per beneficiary	1.45	1.02 0.4 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 13 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 13 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	8.69%	7.12% 1.6 pts worse	No Different than the National Rate · Eligible stays 34 · Observed rate 14.71% · Lower 95% interval 4.35%
Staff COVID-19 vaccination coverage	57.14%	8.2% 48.9 pts better	Numerator 64 · Denominator 112
Staff flu vaccination coverage	45.22%	42% 3.2 pts better	Numerator 52 · Denominator 115
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.9	2.3 0.4 pts better	1.9 About the same	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.0	1.6 0.4 pts worse	1.8 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.7 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	95.9%	98.5% 2.6 pts worse	93.4% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.5% · Q2 97.5% · Q3 95.1% · Q4 93.6% · 4Q avg 95.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.6%	98.2% 1.6 pts worse	95.5% 1.1 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.6%
Percentage of long-stay residents experiencing one or more falls with major injury	2.2%	1.6% 0.6 pts worse	3.3% 1.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 2.5% · Q3 2.4% · Q4 1.3% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	6.8% 6.8 pts better	11.4% 11.4 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 who lose too much weight	6.8%	4.1% 2.7 pts worse	5.4% 1.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 10.1% · Q3 2.8% · Q4 7.2% · 4Q avg 6.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	7.2%	13.7% 6.5 pts better	19.6% 12.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 9.7% · Q3 5.4% · Q4 4.2% · 4Q avg 7.2%
Percentage of long-stay residents who received an antipsychotic medication	8.3%	14.2% 5.9 pts better	16.7% 8.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 7.7% · Q3 5.0% · Q4 8.9% · 4Q avg 8.3% · Used in QM five-star
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	11.0%	11.0% About the same	16.3% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 10.0% · Q2 15.5% · Q3 9.1% · Q4 9.8% · 4Q avg 11.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	11.1%	10.7% 0.4 pts worse	14.9% 3.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.2% · Q2 9.5% · Q3 11.1% · Q4 6.3% · 4Q avg 11.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	3.3%	1.0% 2.3 pts worse	1.0% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 3.7% · Q3 3.3% · Q4 3.6% · 4Q avg 3.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	1.2% 0.5 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.5% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	12.0%	10.9% 1.1 pts worse	19.8% 7.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 17.5% · Q3 18.4% · Q4 6.8% · 4Q avg 12.0%
Percentage of long-stay residents with pressure ulcers	4.4%	4.7% 0.3 pts better	5.1% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.1% · Q2 2.9% · Q3 6.2% · Q4 2.5% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	78.5%	94.0% 15.5 pts worse	81.7% 3.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 87.8% · Q2 79.1% · Q3 75.4% · Q4 74.2% · 4Q avg 78.5%
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	93.8%	93.2% 0.6 pts better	79.7% 14.1 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 93.8%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-16 · Fire 2025-05-16

16 health deficiencies

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

13 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Cycle 2 Health 2024-06-10 · Fire 2024-06-10

21 health deficiencies

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

11 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2021-06-11 · Fire 2021-06-11

27 health deficiencies

Top issue: Nutrition and Dietary (8 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-16

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-06-02

F · Potential for more than minimal harm 2025-05-16

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-06-09

F · Potential for more than minimal harm 2025-05-16

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-09

F · Potential for more than minimal harm 2025-05-16

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-16

F · Potential for more than minimal harm 2025-05-16

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-06-06

F · Potential for more than minimal harm 2025-05-16

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-06-07

E · Potential for more than minimal harm 2025-05-16

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-06-06

E · Potential for more than minimal harm 2025-05-16

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-06-06

E · Potential for more than minimal harm 2025-05-16

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-06-05

D · Potential for more than minimal harm 2025-05-16

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 2025-06-06

D · Potential for more than minimal harm 2025-05-16

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-05-14

D · Potential for more than minimal harm 2025-05-16

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2025-06-06

D · Potential for more than minimal harm 2025-05-16

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 2025-06-13

F · Potential for more than minimal harm 2024-06-10

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2024-07-08

F · Potential for more than minimal harm 2024-06-10

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-07-08

F · Potential for more than minimal harm 2024-06-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-07-05

F · Potential for more than minimal harm 2024-06-10

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2024-06-12

E · Potential for more than minimal harm 2024-06-10

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-07-10

D · Potential for more than minimal harm 2024-06-10

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 2024-06-30

D · Potential for more than minimal harm 2024-06-10

K355 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-07-08

D · Potential for more than minimal harm 2024-06-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-06-12

D · Potential for more than minimal harm 2024-06-10

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 2024-06-12

D · Potential for more than minimal harm 2024-06-10

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-06-12

C · Minimal harm 2024-06-10

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-07-10

F · Potential for more than minimal harm 2021-06-11

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2021-07-22

F · Potential for more than minimal harm 2021-06-11

K352 · Smoke Deficiencies

Fire Safety

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2021-07-22

F · Potential for more than minimal harm 2021-06-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2021-07-22

F · Potential for more than minimal harm 2021-06-11

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2021-07-22

F · Potential for more than minimal harm 2021-06-11

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2021-07-22

E · Potential for more than minimal harm 2021-06-11

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 2021-07-22

E · Potential for more than minimal harm 2021-06-11

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2021-07-22

E · Potential for more than minimal harm 2021-06-11

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2021-07-22

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-05-16

F694 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-19

E · Potential for more than minimal harm 2025-05-16

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-23

E · Potential for more than minimal harm 2025-05-16

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2025-05-19

E · Potential for more than minimal harm 2025-05-16

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 2025-05-17

E · Potential for more than minimal harm 2025-05-16

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2025-05-17

E · Potential for more than minimal harm 2025-05-16

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 2025-05-17

E · Potential for more than minimal harm 2025-05-16

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 2025-06-09

E · Potential for more than minimal harm 2025-05-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-05-16

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 2025-06-04

D · Potential for more than minimal harm 2025-05-16

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-05-20

D · Potential for more than minimal harm 2025-05-16

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 2025-06-06

D · Potential for more than minimal harm 2025-05-16

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2025-06-07

D · Potential for more than minimal harm 2025-05-16

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 2025-05-23

D · Potential for more than minimal harm 2025-05-16

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2025-05-23

D · Potential for more than minimal harm 2025-05-16

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2025-05-29

D · Potential for more than minimal harm 2025-05-16

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-05-23

D · Potential for more than minimal harm 2024-10-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-30

K · Immediate jeopardy 2024-06-10

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 2024-06-10

K · Immediate jeopardy 2024-06-10

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 2024-07-03

E · Potential for more than minimal harm 2024-06-10

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 2024-07-08

E · Potential for more than minimal harm 2024-06-10

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-06-12

E · Potential for more than minimal harm 2024-06-10

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-14

E · Potential for more than minimal harm 2024-06-10

F698 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-14

E · Potential for more than minimal harm 2024-06-10

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-06-11

E · Potential for more than minimal harm 2024-06-10

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 2024-07-10

E · Potential for more than minimal harm 2024-06-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-08

D · Potential for more than minimal harm 2024-06-10

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 2024-06-17

D · Potential for more than minimal harm 2024-06-10

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-06-18

D · Potential for more than minimal harm 2024-06-10

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 2024-07-03

D · Potential for more than minimal harm 2024-06-10

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 2024-06-11

D · Potential for more than minimal harm 2024-06-10

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-03

D · Potential for more than minimal harm 2024-06-10

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-07-03

D · Potential for more than minimal harm 2024-06-10

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 2024-07-03

D · Potential for more than minimal harm 2024-06-10

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 2024-06-11

D · Potential for more than minimal harm 2024-06-10

F692 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-06-10

D · Potential for more than minimal harm 2024-06-10

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 2024-06-14

D · Potential for more than minimal harm 2024-06-10

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-07-03

E · Potential for more than minimal harm 2023-09-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-06

F · Potential for more than minimal harm 2021-06-11

F802 · Nutrition and Dietary Deficiencies

Health

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Corrected 2021-07-23

F · Potential for more than minimal harm 2021-06-11

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2021-07-23

E · Potential for more than minimal harm 2021-06-11

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 2021-07-23

E · Potential for more than minimal harm 2021-06-11

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2021-07-23

E · Potential for more than minimal harm 2021-06-11

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2021-07-23

E · Potential for more than minimal harm 2021-06-11

F867 · Administration Deficiencies

Health

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

Corrected 2021-07-23

E · Potential for more than minimal harm 2021-06-11