Starfile

Starfile / California

MIRAGE POST ACUTE

44445 15TH ST W, LANCASTER, CA 93534 · CCN 056039

SFF Candidate Abuse icon

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★☆☆ 3
Staffing
★★★★☆ 4

Facility

Ownership type
For profit - Partnership
Certified beds
299
Avg residents/day
253.2
Phone
6619487501

Inspection history vs California & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityCalifornia avgNational avgvs state
12025-01-178615.69.5+70.4 worse
22024-01-2611117.49.8+93.6 worse
32023-01-206417.19.3+46.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation6
Quality of life and care29
Resident assessment and care planning16
Resident rights11
Nutrition and dietary7
Pharmacy service10
Environmental3
Infection control4

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)5.5347.5%
RN staffing (reported)0.4240.0%
Total nurse staffing (adjusted)5.02

Fines & penalties

Total fines
$117,614
Number of fines
2
Number of penalties
2
Payment denials
0

Chain

Chain
PACS GROUP
Facilities in chain
264
Chain avg overall
2.90 / 5

Inspection citations (261)3 immediate jeopardy3 actual harm

  1. EF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2026-01-30 · Health

    Potential for more than minimal harm

  2. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2026-01-30 · Health

    Potential for more than minimal harm

  3. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-30 · Health

    Potential for more than minimal harm

  4. DF0695Provide safe and appropriate respiratory care for a resident when needed.2026-01-30 · Health

    Potential for more than minimal harm

  5. EF0697Provide safe, appropriate pain management for a resident who requires such services.2026-01-30 · Health

    Potential for more than minimal harm

  6. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-30 · Health

    Potential for more than minimal harm

  7. DF0880Provide and implement an infection prevention and control program.2026-01-30 · Health

    Potential for more than minimal harm

  8. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-20 · Health · corrected 2026-02-19

    Potential for more than minimal harm

  9. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2026-01-20 · Health · corrected 2026-02-19

    Potential for more than minimal harm

  10. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-17 · Health · corrected 2025-12-24

    Potential for more than minimal harm

  11. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-11-25 · Health · corrected 2025-11-26

    Potential for more than minimal harm

  12. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-11-24 · Health · corrected 2025-11-25

    Potential for more than minimal harm

  13. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-11-24 · Health · corrected 2025-11-25

    Potential for more than minimal harm

  14. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-24 · Health · corrected 2025-11-25

    Potential for more than minimal harm

  15. GF0880Provide and implement an infection prevention and control program.2025-11-24 · Health · corrected 2025-11-25

    Actual harm

  16. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-09-05 · Health · corrected 2025-09-26

    Potential for more than minimal harm

  17. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-09-05 · Health · corrected 2025-09-26

    Potential for more than minimal harm

  18. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-09-05 · Health · corrected 2025-09-26

    Potential for more than minimal harm

  19. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-09-05 · Health · corrected 2025-09-26

    Potential for more than minimal harm

  20. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-09-05 · Health · corrected 2025-09-26

    Potential for more than minimal harm

  21. DF0585Honor 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.2025-08-21 · Health · corrected 2025-09-19

    Potential for more than minimal harm

  22. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-08-21 · Health · corrected 2025-09-19

    Potential for more than minimal harm

  23. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-08-21 · Health · corrected 2025-09-19

    Potential for more than minimal harm

  24. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-08-21 · Health · corrected 2025-09-19

    Actual harm

  25. DF0693Ensure 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.2025-08-21 · Health · corrected 2025-09-19

    Potential for more than minimal harm

  26. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-08-21 · Health · corrected 2025-09-19

    Potential for more than minimal harm

  27. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-08-21 · Health · corrected 2025-09-26

    Potential for more than minimal harm

  28. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-07 · Health · corrected 2025-09-03

    Potential for more than minimal harm

  29. DF0679Provide activities to meet all resident's needs.2025-08-07 · Health · corrected 2025-09-03

    Potential for more than minimal harm

  30. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-07 · Health · corrected 2025-09-03

    Potential for more than minimal harm

  31. DF0880Provide and implement an infection prevention and control program.2025-08-07 · Health · corrected 2025-09-03

    Potential for more than minimal harm

  32. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-22 · Health · corrected 2025-08-28

    Potential for more than minimal harm

  33. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-07-15 · Health · corrected 2025-08-08

    Potential for more than minimal harm

  34. DF0558Reasonably accommodate the needs and preferences of each resident.2025-07-09 · Health · corrected 2025-07-31

    Potential for more than minimal harm

  35. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-07-09 · Health · corrected 2025-07-31

    Potential for more than minimal harm

  36. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-07-09 · Health · corrected 2025-07-31

    Potential for more than minimal harm

  37. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-07-09 · Health · corrected 2025-07-31

    Potential for more than minimal harm

  38. DF0558Reasonably accommodate the needs and preferences of each resident.2025-06-05 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  39. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-05 · Health · corrected 2025-06-23

    Potential for more than minimal harm

  40. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-16 · Health · corrected 2025-06-08

    Potential for more than minimal harm

  41. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-05-16 · Health · corrected 2025-06-08

    Potential for more than minimal harm

  42. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-16 · Health · corrected 2025-06-08

    Potential for more than minimal harm

  43. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-16 · Health · corrected 2025-06-08

    Potential for more than minimal harm

  44. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-04-03 · Health · corrected 2025-04-27

    Potential for more than minimal harm

  45. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-03 · Health · corrected 2025-04-27

    Potential for more than minimal harm

  46. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-04-03 · Health · corrected 2025-04-27

    Potential for more than minimal harm

  47. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-03 · Health · corrected 2025-04-27

    Potential for more than minimal harm

  48. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-04-03 · Health · corrected 2025-04-27

    Potential for more than minimal harm

  49. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-04-03 · Health · corrected 2025-04-27

    Potential for more than minimal harm

  50. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-03-28 · Health · corrected 2025-04-21

    Immediate jeopardy

  51. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-28 · Health · corrected 2025-04-21

    Immediate jeopardy

  52. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-28 · Health · corrected 2025-04-21

    Immediate jeopardy

  53. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-28 · Health · corrected 2025-04-21

    Potential for more than minimal harm

  54. DF0558Reasonably accommodate the needs and preferences of each resident.2025-03-12 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  55. EF0760Ensure that residents are free from significant medication errors.2025-03-12 · Health · corrected 2025-04-01

    Potential for more than minimal harm

  56. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-11 · Health · corrected 2025-03-13

    Potential for more than minimal harm

  57. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-11 · Health · corrected 2025-03-13

    Potential for more than minimal harm

  58. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-03-11 · Health · corrected 2025-03-13

    Potential for more than minimal harm

  59. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-03-10 · Health · corrected 2025-03-30

    Potential for more than minimal harm

  60. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-03-10 · Health · corrected 2025-03-30

    Potential for more than minimal harm

  61. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-25 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  62. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-02-25 · Health · corrected 2025-02-28

    Potential for more than minimal harm

  63. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-07 · Health · corrected 2025-02-28

    Actual harm

  64. DF0583Keep residents' personal and medical records private and confidential.2025-02-04 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  65. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-02-04 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  66. DF0585Honor 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.2025-01-28 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  67. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-01-28 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  68. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-01-28 · Health · corrected 2025-01-30

    Potential for more than minimal harm

  69. EF0732Post nurse staffing information every day.2025-01-22 · Health · corrected 2025-01-25

    Potential for more than minimal harm

  70. EF0760Ensure that residents are free from significant medication errors.2025-01-22 · Health · corrected 2025-01-25

    Potential for more than minimal harm

  71. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-01-22 · Health · corrected 2025-01-25

    Potential for more than minimal harm

  72. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  73. EF0558Reasonably accommodate the needs and preferences of each resident.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  74. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  75. EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  76. BF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-01-17 · Health · corrected 2025-02-05

    Potential for minimal harm

  77. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  78. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  79. DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  80. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  81. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  82. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  83. DF0693Ensure 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.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  84. EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  85. EF0700Try 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.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  86. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  87. EF0758Implement 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.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  88. EF0760Ensure that residents are free from significant medication errors.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  89. EF0761Ensure 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.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  90. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  91. EF0803Ensure 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.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  92. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  93. EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  94. EF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  95. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  96. EF0814Dispose of garbage and refuse properly.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  97. EF0880Provide and implement an infection prevention and control program.2025-01-17 · Health · corrected 2025-02-05

    Potential for more than minimal harm

  98. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-07 · Health · corrected 2025-01-20

    Potential for more than minimal harm

  99. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-01-06 · Health · corrected 2025-01-24

    Potential for more than minimal harm

  100. DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-01-06 · Health · corrected 2025-01-24

    Potential for more than minimal harm

  101. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-06 · Health · corrected 2025-01-24

    Potential for more than minimal harm

  102. EF0880Provide and implement an infection prevention and control program.2025-01-06 · Health · corrected 2025-01-24

    Potential for more than minimal harm

  103. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-12-19 · Health · corrected 2025-01-09

    Potential for more than minimal harm

  104. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-12-19 · Health · corrected 2025-01-09

    Potential for more than minimal harm

  105. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-12-19 · Health · corrected 2025-01-09

    Potential for more than minimal harm

  106. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-19 · Health · corrected 2025-01-09

    Potential for more than minimal harm

  107. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-12 · Health · corrected 2024-12-28

    Potential for more than minimal harm

  108. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-12-06 · Health · corrected 2024-12-21

    Potential for more than minimal harm

  109. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-11-25 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  110. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-25 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  111. DF0880Provide and implement an infection prevention and control program.2024-11-25 · Health · corrected 2024-12-16

    Potential for more than minimal harm

  112. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-15 · Health · corrected 2024-12-12

    Potential for more than minimal harm

  113. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-11-15 · Health · corrected 2024-12-12

    Potential for more than minimal harm

  114. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-15 · Health · corrected 2024-12-12

    Potential for more than minimal harm

  115. EF0880Provide and implement an infection prevention and control program.2024-11-14 · Health · corrected 2024-11-30

    Potential for more than minimal harm

  116. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-11-13 · Health · corrected 2024-12-02

    Potential for more than minimal harm

  117. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-11-13 · Health · corrected 2024-12-02

    Potential for more than minimal harm

  118. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-11-13 · Health · corrected 2024-12-02

    Potential for more than minimal harm

  119. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-13 · Health · corrected 2024-12-02

    Potential for more than minimal harm

  120. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-13 · Health · corrected 2024-12-02

    Potential for more than minimal harm

  121. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-10-08 · Health · corrected 2024-10-21

    Potential for more than minimal harm

  122. DF0679Provide activities to meet all resident's needs.2024-10-08 · Health · corrected 2024-10-21

    Potential for more than minimal harm

  123. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-10-08 · Health · corrected 2024-10-21

    Potential for more than minimal harm

  124. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-10-03 · Health · corrected 2024-10-22

    Potential for more than minimal harm

  125. DF0693Ensure 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.2024-10-03 · Health · corrected 2024-10-22

    Potential for more than minimal harm

  126. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-09-28 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  127. DF0558Reasonably accommodate the needs and preferences of each resident.2024-09-28 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  128. DF0585Honor 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.2024-09-28 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  129. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-09-28 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  130. DF0679Provide activities to meet all resident's needs.2024-09-28 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  131. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-28 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  132. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-09-28 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  133. DF0693Ensure 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.2024-09-28 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  134. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-09-28 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  135. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-09-28 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  136. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-09-28 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  137. DF0880Provide and implement an infection prevention and control program.2024-09-28 · Health · corrected 2024-10-18

    Potential for more than minimal harm

  138. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-03 · Health · corrected 2024-09-23

    Potential for more than minimal harm

  139. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-08-08 · Health · corrected 2024-08-20

    Potential for more than minimal harm

  140. DF0760Ensure that residents are free from significant medication errors.2024-08-08 · Health · corrected 2024-08-20

    Potential for more than minimal harm

  141. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-07-11 · Health · corrected 2024-07-17

    Potential for more than minimal harm

  142. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-05-06 · Health · corrected 2024-05-24

    Potential for more than minimal harm

  143. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-05-06 · Health · corrected 2024-05-24

    Potential for more than minimal harm

  144. DF0728Ensure 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.2024-05-06 · Health · corrected 2024-05-24

    Potential for more than minimal harm

  145. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-01 · Health · corrected 2024-05-10

    Potential for more than minimal harm

  146. DF0758Implement 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.2024-05-01 · Health · corrected 2024-05-10

    Potential for more than minimal harm

  147. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-16 · Health · corrected 2024-04-25

    Potential for more than minimal harm

  148. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2024-03-18 · Health · corrected 2024-04-04

    Potential for more than minimal harm

  149. EF0675Honor each resident's preferences, choices, values and beliefs.2024-03-18 · Health · corrected 2024-04-04

    Potential for more than minimal harm

  150. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-03-18 · Health · corrected 2024-04-04

    Potential for more than minimal harm

  151. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-03-18 · Health · corrected 2024-04-04

    Potential for more than minimal harm

  152. DF0688Provide 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.2024-03-18 · Health · corrected 2024-04-04

    Potential for more than minimal harm

  153. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-18 · Health · corrected 2024-04-04

    Potential for more than minimal harm

  154. DF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2024-03-18 · Health · corrected 2024-04-04

    Potential for more than minimal harm

  155. DF0880Provide and implement an infection prevention and control program.2024-03-18 · Health · corrected 2024-04-04

    Potential for more than minimal harm

  156. EF0908Keep all essential equipment working safely.2024-03-18 · Health · corrected 2024-04-04

    Potential for more than minimal harm

  157. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  158. EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  159. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  160. DF0558Reasonably accommodate the needs and preferences of each resident.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  161. EF0578Honor 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.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  162. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  163. EF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  164. DF0610Respond appropriately to all alleged violations.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  165. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  166. DF0625Notify 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.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  167. BF0637Assess the resident when there is a significant change in condition2024-01-26 · Health · corrected 2024-02-23

    Potential for minimal harm

  168. BF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-01-26 · Health · corrected 2024-02-23

    Potential for minimal harm

  169. BF0641Ensure each resident receives an accurate assessment.2024-01-26 · Health · corrected 2024-02-23

    Potential for minimal harm

  170. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  171. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  172. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  173. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  174. DF0660Plan the resident's discharge to meet the resident's goals and needs.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  175. DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  176. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  177. DF0685Assist a resident in gaining access to vision and hearing services.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  178. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  179. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  180. DF0693Ensure 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.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  181. EF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  182. EF0697Provide safe, appropriate pain management for a resident who requires such services.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  183. DF0698Provide safe, appropriate dialysis care/services for a resident who requires such services.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  184. EF0745Provide medically-related social services to help each resident achieve the highest possible quality of life.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  185. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  186. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  187. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  188. EF0758Implement 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.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  189. EF0760Ensure that residents are free from significant medication errors.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  190. EF0761Ensure 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.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  191. DF0791Provide or obtain dental services for each resident.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  192. DF0809Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  193. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  194. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  195. EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  196. EF0880Provide and implement an infection prevention and control program.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  197. DF0908Keep all essential equipment working safely.2024-01-26 · Health · corrected 2024-02-23

    Potential for more than minimal harm

  198. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-11 · Health · corrected 2024-02-02

    Potential for more than minimal harm

  199. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-01-11 · Health · corrected 2024-02-02

    Potential for more than minimal harm

  200. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-01-11 · Health · corrected 2024-02-02

    Potential for more than minimal harm

  201. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-01-11 · Health · corrected 2024-02-02

    Potential for more than minimal harm

  202. DF0850Hire a qualified full-time social worker in a facility with more than 120 beds.2024-01-11 · Health · corrected 2024-02-02

    Potential for more than minimal harm

  203. DF0880Provide and implement an infection prevention and control program.2024-01-11 · Health · corrected 2024-02-02

    Potential for more than minimal harm

  204. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-11-29 · Health · corrected 2023-12-12

    Potential for more than minimal harm

  205. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-11-29 · Health · corrected 2023-12-12

    Potential for more than minimal harm

  206. DF0732Post nurse staffing information every day.2023-11-29 · Health · corrected 2023-12-12

    Potential for more than minimal harm

  207. EF0880Provide and implement an infection prevention and control program.2023-11-29 · Health · corrected 2023-12-12

    Potential for more than minimal harm

  208. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-07 · Health · corrected 2023-12-02

    Potential for more than minimal harm

  209. DF0692Provide enough food/fluids to maintain a resident's health.2023-11-07 · Health · corrected 2023-12-02

    Potential for more than minimal harm

  210. DF0760Ensure that residents are free from significant medication errors.2023-11-07 · Health · corrected 2023-12-02

    Potential for more than minimal harm

  211. EF0803Ensure 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.2023-11-07 · Health · corrected 2023-12-02

    Potential for more than minimal harm

  212. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-11-07 · Health · corrected 2023-12-02

    Potential for more than minimal harm

  213. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-11-01 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  214. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-01 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  215. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-11-01 · Health · corrected 2023-11-16

    Potential for more than minimal harm

  216. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-10-29 · Health · corrected 2023-11-20

    Potential for more than minimal harm

  217. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2023-10-29 · Health · corrected 2023-11-20

    Potential for more than minimal harm

  218. DF0885Report COVID19 data to residents and families.2023-10-29 · Health · corrected 2023-11-20

    Potential for more than minimal harm

  219. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-10-17 · Health · corrected 2023-11-02

    Potential for more than minimal harm

  220. DF0585Honor 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.2023-10-17 · Health · corrected 2023-11-02

    Potential for more than minimal harm

  221. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-05 · Health · corrected 2023-10-17

    Potential for more than minimal harm

  222. BF0732Post nurse staffing information every day.2023-09-13 · Health · corrected 2023-10-13

    Potential for minimal harm

  223. EF0880Provide and implement an infection prevention and control program.2023-09-13 · Health · corrected 2023-10-13

    Potential for more than minimal harm

  224. DF0880Provide and implement an infection prevention and control program.2023-07-25 · Health · corrected 2023-08-11

    Potential for more than minimal harm

  225. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-17 · Health · corrected 2023-08-10

    Potential for more than minimal harm

  226. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-17 · Health · corrected 2023-08-10

    Potential for more than minimal harm

  227. DF0687Provide appropriate foot care.2023-07-17 · Health · corrected 2023-08-10

    Potential for more than minimal harm

  228. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-07-14 · Health · corrected 2023-08-04

    Potential for more than minimal harm

  229. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-07-05 · Health · corrected 2023-07-27

    Potential for more than minimal harm

  230. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-05 · Health · corrected 2023-07-27

    Potential for more than minimal harm

  231. EF0880Provide and implement an infection prevention and control program.2023-07-05 · Health · corrected 2023-07-27

    Potential for more than minimal harm

  232. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-06-16 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  233. DF0659Provide care by qualified persons according to each resident's written plan of care.2023-06-16 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  234. DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2023-06-16 · Health · corrected 2023-07-07

    Potential for more than minimal harm

  235. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-06-14 · Health · corrected 2023-06-23

    Potential for more than minimal harm

  236. EF0760Ensure that residents are free from significant medication errors.2023-04-17 · Health · corrected 2023-05-07

    Potential for more than minimal harm

  237. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-04-12 · Health · corrected 2023-04-25

    Potential for more than minimal harm

  238. DF0624Prepare residents for a safe transfer or discharge from the nursing home.2023-04-11 · Health · corrected 2023-05-03

    Potential for more than minimal harm

  239. EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  240. DF0554Allow residents to self-administer drugs if determined clinically appropriate.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  241. DF0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  242. DF0558Reasonably accommodate the needs and preferences of each resident.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  243. DF0583Keep residents' personal and medical records private and confidential.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  244. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  245. DF0585Honor 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.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  246. DF0625Notify 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.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  247. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  248. DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  249. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  250. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  251. DF0691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  252. DF0692Provide enough food/fluids to maintain a resident's health.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  253. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  254. DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  255. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  256. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  257. DF0758Implement 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.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  258. EF0761Ensure 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.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  259. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  260. EF0880Provide and implement an infection prevention and control program.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

  261. DF0881Implement a program that monitors antibiotic use.2023-01-20 · Health · corrected 2023-02-20

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
PROVIDENCE GROUP NH, LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2023-06-15
PACS GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-15
PACS HOLDINGS, LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-15
HANCOCK, MARKIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-15
MURRAY, JASONIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2023-06-15
JACK, SPENCERIndividualOPERATIONAL/MANAGERIAL CONTROL2023-06-15
APT, FREDERICKIndividualCORPORATE OFFICER2023-06-15
HANCOCK, MARKIndividualCORPORATE OFFICER2023-06-15
MITCHELL, JOHNIndividualCORPORATE OFFICER2023-06-15
MURRAY, JASONIndividualCORPORATE OFFICER2023-06-15
JACK, SPENCERIndividualW-2 MANAGING EMPLOYEE2023-06-15

Other facilities in LANCASTER

NameOverallBeds
Desert Canyon Post Acute, LLC★☆☆☆☆99
ANTELOPE VALLEY CARE CENTER★☆☆☆☆199
THE ELLISON JOHN TRANSITIONAL CARE CENTER★☆☆☆☆170

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.