Five Counties Nursing Home

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 5, 2026.

Allow residents to self-administer drugs if determined clinically appropriate.

Rule F0554. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 5, 2026.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 5, 2026.

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

Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 5, 2026.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 27, 2025.

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

Rule F0686. G: actual harm. From a complaint. Correction date, as CMS recorded it: May 2, 2025.

Ensure that residents are free from significant medication errors.

Rule F0760. G: actual harm. From a complaint. Correction date, as CMS recorded it: May 2, 2025.

Respond appropriately to all alleged violations.

Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 27, 2025.

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

Rule F0658. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 27, 2025.

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.

Rule F0761. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 2, 2025.

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Rule F0582. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

Keep residents’ personal and medical records private and confidential.

Rule F0583. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

Respond appropriately to all alleged violations.

Rule F0610. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 27, 2025.

Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

Rule F0655. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

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

Rule F0658. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

Provide care or services that was trauma informed and/or culturally competent.

Rule F0699. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

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.

Rule F0700. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 8, 2025.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Rule F0725. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

Post nurse staffing information every day.

Rule F0732. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

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

Rule F0755. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 27, 2025.

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.

Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

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.

Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

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

Rule F0812. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Rule F0835. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Rule F0837. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Rule F0847. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 7, 2025.

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Rule F0848. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 7, 2025.

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Rule F0851. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

Have a plan that describes the process for conducting QAPI and QAA activities.

Rule F0865. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Rule F0909. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 26, 2025.

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

Rule F0684. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 7, 2025.

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Rule F0625. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 20, 2024.

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

Rule F0658. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 20, 2024.

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Rule F0678. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 20, 2024.

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

Rule F0692. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 20, 2024.

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.

Rule F0758. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 20, 2024.