Mount Vernon, NY

Westchester Center For Rehabilitation & Nursing

2-star overall rating with 1-star inspections with 18 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

10 Claremont Ave, Mount Vernon, NY

(914) 699-1600

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

240

Certified beds

Average residents

234

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Jonathan Bleier

Operator or chain grouping

Approved since

1975-11-25

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

18 facilities

Chain averages 3 overall / 2 health / 3 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

0.49

Registered nurse staffing · state 0.70 · national 0.68

LPN hours / resident day

0.56

Licensed practical nurse staffing · state 0.78 · national 0.87

Aide hours / resident day

2.17

Nurse aide staffing · state 2.20 · national 2.35

Total nurse hours

3.22

All reported nurse hours · state 3.65 · national 3.89

Licensed hours

1.04

RN + LPN hours · state 1.47 · national 1.54

Weekend hours

2.73

Weekend nurse staffing · state 3.16 · national 3.43

Weekend RN hours

0.31

Weekend registered nurse coverage · state 0.47 · national 0.47

Physical therapist

0.18

Reported PT staffing · state 0.11 · national 0.07

Adjusted RN hours

0.55

CMS adjusted RN staffing hours

Adjusted total hours

3.63

CMS adjusted total nurse staffing hours

Case-mix index

1.21

Higher values indicate more complex resident acuity

RN turnover

53%

Annual RN turnover · state 41% · national 45%

Total nurse turnover

39%

Annual nurse turnover · state 41% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,525

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

Performance score

39.60

Composite VBP score used to determine payment impact.

Payment multiplier

0.9926

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.52

Baseline 19.51% · Performance 20.26% · Measure score 2.52 · Achievement 2.52 · Improvement 0

Healthcare-associated infections

7.20

Baseline 10.36% · Performance 6.23% · Measure score 7.20 · Achievement 5.38 · Improvement 7.20

Total nurse turnover

4.92

Baseline 33.74% · Performance 43.58% · Measure score 4.92 · Achievement 4.92 · Improvement 0

Adjusted total nurse staffing

1.19

Baseline 2.93 hours · Performance 3.41 hours · Measure score 1.19 · Achievement 1.18 · Improvement 1.19

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.33%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 120 · Observed rate 11.67% · Lower 95% interval 7.31%
Discharge to community	33.43%	50.57% 17.1 pts worse	Worse than the National Rate · Eligible stays 83 · Observed rate 21.69% · Lower 95% interval 23.42%
Medicare spending per beneficiary	1.32	1.02 0.3 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 134 · Denominator 134
Falls with major injury	0.75%	0.77% About the same	Numerator 1 · Denominator 134
Discharge self-care score	77.61%	53.69% 23.9 pts better	Numerator 52 · Denominator 67
Discharge mobility score	74.63%	50.94% 23.7 pts better	Numerator 50 · Denominator 67
Pressure ulcers or injuries, new or worsened	2.24%	2.29% About the same	Numerator 3 · Denominator 134 · Adjusted rate 1.45%
Healthcare-associated infections requiring hospitalization	6.23%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 76 · Observed rate 6.58% · Lower 95% interval 3.46%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 276
Staff flu vaccination coverage	89.25%	42% 47.2 pts better	Numerator 332 · Denominator 372
Discharge function score	74.63%	56.45% 18.2 pts better	Numerator 50 · Denominator 67
Transfer of health information to provider	100%	95.95% 4 pts better	Numerator 63 · Denominator 63
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	13.51%	25.2% 11.7 pts worse	Numerator 10 · Denominator 74

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.7 0.1 pts worse	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.9 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	1.3 0.2 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	91.2% 8.3 pts better	93.4% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 99.1% · Q2 100.0% · Q3 99.1% · Q4 100.0% · 4Q avg 99.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.3% 4.7 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	2.4%	3.0% 0.6 pts better	3.3% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.8% · Q2 2.3% · Q3 2.8% · Q4 1.8% · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.2%	18.5% 18.3 pts better	11.4% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2%
Percentage of long-stay residents who lose too much weight	1.8%	6.1% 4.3 pts better	5.4% 3.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.4% · Q3 1.0% · Q4 2.8% · 4Q avg 1.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	6.6%	13.5% 6.9 pts better	19.6% 13 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 6.5% · Q3 7.5% · Q4 6.8% · 4Q avg 6.6%
Percentage of long-stay residents who received an antipsychotic medication	10.0%	14.8% 4.8 pts better	16.7% 6.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 9.1% · Q3 11.9% · Q4 12.1% · 4Q avg 10.0% · 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	10.1%	15.1% 5 pts better	16.3% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 18.7% · Q2 13.9% · Q3 3.2% · Q4 5.1% · 4Q avg 10.1% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.0%	15.5% 5.5 pts better	14.9% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.8% · Q2 10.1% · Q3 8.0% · Q4 8.3% · 4Q avg 10.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.5%	0.6% 0.1 pts better	1.0% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 1.1% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.4% 1.4 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	3.0%	20.8% 17.8 pts better	19.8% 16.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 3.3% · Q3 3.5% · Q4 1.2% · 4Q avg 3.0%
Percentage of long-stay residents with pressure ulcers	5.9%	6.9% 1 pts better	5.1% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.2% · Q2 6.6% · Q3 6.5% · Q4 4.2% · 4Q avg 5.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	96.0%	76.7% 19.3 pts better	81.7% 14.3 pts better	Short Stay · 2024Q4-2025Q3 · Q1 92.4% · Q2 97.2% · Q3 98.2% · Q4 95.9% · 4Q avg 96.0%
Percentage of short-stay residents who had an outpatient emergency department visit	7.9%	9.7% 1.8 pts better	12.0% 4.1 pts better	Short Stay · 20240701-20250630 · Adjusted 7.9% · Observed 9.3% · Expected 13.1% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.2%	1.2% 1 pts worse	1.6% 0.6 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 5.0% · Q4 1.7% · 4Q avg 2.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.4%	78.8% 17.6 pts better	79.7% 16.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	15.0%	20.6% 5.6 pts better	23.9% 8.9 pts better	Short Stay · 20240701-20250630 · Adjusted 15.0% · Observed 19.5% · Expected 30.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-29 · Fire 2025-01-29

18 health deficiencies

Top issue: Resident Rights (8 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2022-03-21 · Fire 2022-03-21

13 health deficiencies

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

10 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2019-07-17 · Fire 2019-07-17

9 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

12 fire-safety deficiencies

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

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-01-29

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-03-21

E · Potential for more than minimal harm 2025-01-29

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-03-21

E · Potential for more than minimal harm 2025-01-29

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-03-21

D · Potential for more than minimal harm 2025-01-29

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 2025-03-21

D · Potential for more than minimal harm 2025-01-29

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-21

E · Potential for more than minimal harm 2022-03-21

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 2022-05-16

E · Potential for more than minimal harm 2022-03-21

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-05-16

E · Potential for more than minimal harm 2022-03-21

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-05-16

E · Potential for more than minimal harm 2022-03-21

K761 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2022-05-16

E · Potential for more than minimal harm 2022-03-21

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2022-05-16

E · Potential for more than minimal harm 2022-03-21

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2022-05-16

D · Potential for more than minimal harm 2022-03-21

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2022-05-16

D · Potential for more than minimal harm 2022-03-21

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2022-05-16

D · Potential for more than minimal harm 2022-03-21

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-05-16

D · Potential for more than minimal harm 2022-03-21

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 2022-05-16

E · Potential for more than minimal harm 2019-07-17

K225 · Egress Deficiencies

Fire Safety

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

Corrected 2019-09-14

E · Potential for more than minimal harm 2019-07-17

K521 · Services Deficiencies

Fire Safety

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

Corrected 2019-08-10

E · Potential for more than minimal harm 2019-07-17

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2019-08-10

E · Potential for more than minimal harm 2019-07-17

K901 · Electrical Deficiencies

Fire Safety

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

Corrected 2019-09-13

E · Potential for more than minimal harm 2019-07-17

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 2019-09-14

E · Potential for more than minimal harm 2019-07-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-09-14

D · Potential for more than minimal harm 2019-07-17

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2019-09-13

D · Potential for more than minimal harm 2019-07-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2019-09-14

D · Potential for more than minimal harm 2019-07-17

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2019-09-13

D · Potential for more than minimal harm 2019-07-17

K916 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2019-09-13

D · Potential for more than minimal harm 2019-07-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2019-09-13

C · Minimal harm 2019-07-17

E34 · Emergency Preparedness Deficiencies

Fire Safety

Provide a means of sharing information on occupancy/needs.

Corrected 2019-09-13

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-04

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.

Not marked corrected

F · Potential for more than minimal harm 2025-01-29

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-01-29

F568 · Resident Rights Deficiencies

Health

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-01-29

F570 · Resident Rights Deficiencies

Health

Assure the security of all personal funds of residents deposited with the facility.

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-01-29

F577 · Resident Rights Deficiencies

Health

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

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-01-29

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-01-29

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 2025-03-28

E · Potential for more than minimal harm 2025-01-29

F730 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2025-03-28

E · Potential for more than minimal harm 2025-01-29

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 2025-03-28

E · Potential for more than minimal harm 2025-01-29

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 2025-03-28

D · Potential for more than minimal harm 2025-01-29

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 2025-03-28

D · Potential for more than minimal harm 2025-01-29

F552 · Resident Rights Deficiencies

Health

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

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-29

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-29

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-29

F567 · Resident Rights Deficiencies

Health

Honor the resident's right to manage his or her financial affairs.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-29

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 2025-03-28

D · Potential for more than minimal harm 2025-01-29

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-29

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 2025-03-28

D · Potential for more than minimal harm 2025-01-29

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-28

D · Potential for more than minimal harm 2025-01-21

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 2025-03-20

D · Potential for more than minimal harm 2024-08-21

F553 · Resident Rights Deficiencies

Health

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Corrected 2024-09-30

D · Potential for more than minimal harm 2024-08-21

F697 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-09-30

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

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 2024-09-30

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

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-09-30

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

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 2024-09-30

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

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 2024-09-30

G · Actual harm 2022-03-21

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 2022-05-16

D · Potential for more than minimal harm 2022-03-21

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 2022-05-16

D · Potential for more than minimal harm 2022-03-21

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 2022-05-16

D · Potential for more than minimal harm 2022-03-21

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 2022-05-16

D · Potential for more than minimal harm 2022-03-21

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-05-16

E · Potential for more than minimal harm 2019-07-17

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 2019-09-13

E · Potential for more than minimal harm 2019-07-17

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 2019-09-13

E · Potential for more than minimal harm 2019-07-17

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 2019-09-13

D · Potential for more than minimal harm 2019-07-17

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2019-09-13

D · Potential for more than minimal harm 2019-07-17

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 2019-09-13

D · Potential for more than minimal harm 2019-07-17

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 2019-09-13

D · Potential for more than minimal harm 2019-07-17

F757 · Pharmacy Service Deficiencies

Health

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

Corrected 2019-09-13

D · Potential for more than minimal harm 2019-07-17

F761 · Pharmacy Service Deficiencies

Health

Corrected 2019-09-13

B · Minimal harm 2019-07-17

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 2019-09-13

Penalties and ownership