Gem Tcu

Honor each resident's preferences, choices, values and beliefs.

Potential for more than minimal harm (pattern) Quality of Life and Care Complaint

Tag F0675 · severity code E · corrected Jul 31, 2026

Provide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0677 · severity code D · corrected Aug 13, 2026

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

Potential for more than minimal harm (pattern) Environmental Complaint

Tag F0919 · severity code E · corrected May 29, 2026

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

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0689 · severity code D · corrected May 29, 2026

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

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint

Tag F0657 · severity code D · corrected May 29, 2026

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

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0693 · severity code D · corrected Jan 15, 2026

PASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm (pattern) Resident Assessment and Care Planning

Tag F0645 · severity code E · corrected Dec 12, 2025

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

Potential for more than minimal harm (pattern) Nutrition and Dietary

Tag F0812 · severity code E · corrected Dec 12, 2025

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Potential for more than minimal harm (pattern) Nutrition and Dietary

Tag F0813 · severity code E · corrected Dec 12, 2025

Provide and implement an infection prevention and control program.

Potential for more than minimal harm (pattern) Infection Control

Tag F0880 · severity code E · corrected Dec 12, 2025

Keep all essential equipment working safely.

Potential for more than minimal harm (isolated) Environmental

Tag F0908 · severity code D · corrected Dec 12, 2025

Dispose of garbage and refuse properly.

Potential for more than minimal harm (isolated) Nutrition and Dietary

Tag F0814 · severity code D · corrected Dec 12, 2025

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

Potential for more than minimal harm (isolated) Resident Rights

Tag F0550 · severity code D · corrected Dec 12, 2025

Reasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0558 · severity code D · corrected Dec 12, 2025

Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

Potential for more than minimal harm (isolated) Resident Rights Complaint

Tag F0571 · severity code D · corrected Dec 12, 2025

Honor 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.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0584 · severity code D · corrected Dec 12, 2025

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

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0686 · severity code D · corrected Dec 12, 2025

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

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0689 · severity code D · corrected Dec 12, 2025

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

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0698 · severity code D · corrected Dec 12, 2025

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Potential for more than minimal harm (isolated) Nutrition and Dietary

Tag F0806 · severity code D · corrected Dec 12, 2025

Post nurse staffing information every day.

Potential for minimal harm (pattern) Nursing and Physician Services

Tag F0732 · severity code B · corrected Dec 12, 2025

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Potential for minimal harm (pattern) Environmental

Tag F0912 · severity code B · corrected Dec 12, 2025

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

Potential for more than minimal harm (pattern) Nutrition and Dietary Complaint

Tag F0812 · severity code E · corrected Aug 8, 2025

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Potential for more than minimal harm (isolated) Resident Rights Complaint

Tag F0627 · severity code D · corrected Jun 12, 2025

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Immediate jeopardy to resident health or safety (isolated) Quality of Life and Care Complaint

Tag F0742 · severity code J · corrected Jun 11, 2025

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

Actual harm to residents (isolated) Quality of Life and Care Complaint

Tag F0689 · severity code G · corrected Jun 11, 2025

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Potential for more than minimal harm (pattern) Infection Control Complaint

Tag F0882 · severity code E · corrected May 11, 2025

Implement a program that monitors antibiotic use.

Potential for more than minimal harm (pattern) Infection Control Complaint

Tag F0881 · severity code E · corrected May 11, 2025

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

Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint

Tag F0607 · severity code D · corrected May 11, 2025

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Potential for more than minimal harm (isolated) Nutrition and Dietary Complaint

Tag F0806 · severity code D · corrected May 11, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint

Tag F0609 · severity code D · corrected May 11, 2025

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Potential for more than minimal harm (isolated) Nutrition and Dietary Complaint

Tag F0806 · severity code D · corrected May 9, 2025

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

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0689 · severity code D · corrected May 9, 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.

Potential for more than minimal harm (pattern) Pharmacy Service Complaint

Tag F0758 · severity code E · corrected Apr 25, 2025

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

Potential for more than minimal harm (isolated) Pharmacy Service Complaint

Tag F0756 · severity code D · corrected Apr 25, 2025

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

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0689 · severity code D · corrected Apr 25, 2025

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

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0686 · severity code D · corrected Apr 8, 2025

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

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint

Tag F0657 · severity code D · corrected Mar 21, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint

Tag F0609 · severity code D · corrected Mar 21, 2025

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

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0684 · severity code D · corrected Feb 20, 2025

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

Potential for more than minimal harm (pattern) Nutrition and Dietary Complaint

Tag F0812 · severity code E · corrected Jan 31, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm (pattern) Nutrition and Dietary Complaint

Tag F0804 · severity code E · corrected Jan 31, 2025

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

Potential for more than minimal harm (pattern) Nutrition and Dietary Complaint

Tag F0803 · severity code E · corrected Jan 31, 2025

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

Potential for more than minimal harm (pattern) Quality of Life and Care Complaint

Tag F0689 · severity code E · corrected Feb 1, 2025

Reasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm (pattern) Resident Rights

Tag F0558 · severity code E · corrected Dec 1, 2024

Provide and implement an infection prevention and control program.

Potential for more than minimal harm (pattern) Infection Control

Tag F0880 · severity code E · corrected Dec 1, 2024

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

Potential for more than minimal harm (pattern) Nutrition and Dietary

Tag F0812 · severity code E · corrected Dec 1, 2024

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

Potential for more than minimal harm (pattern) Quality of Life and Care

Tag F0689 · severity code E · corrected Dec 1, 2024

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Potential for more than minimal harm (isolated) Environmental

Tag F0925 · severity code D · corrected Dec 1, 2024

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

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0698 · severity code D · corrected Dec 1, 2024

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

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0695 · severity code D · corrected Dec 1, 2024

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0676 · severity code D · corrected Dec 1, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint

Tag F0600 · severity code D · corrected Dec 1, 2024

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0578 · severity code D · corrected Dec 1, 2024

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

Potential for more than minimal harm (isolated) Resident Rights

Tag F0550 · severity code D · corrected Dec 1, 2024

Post nurse staffing information every day.

Potential for minimal harm (pattern) Nursing and Physician Services

Tag F0732 · severity code B · corrected Dec 1, 2024

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Potential for more than minimal harm (pattern) Nursing and Physician Services Complaint

Tag F0712 · severity code E · corrected Oct 18, 2024

Provide and implement an infection prevention and control program.

Potential for more than minimal harm (isolated) Infection Control Complaint

Tag F0880 · severity code D · corrected Oct 18, 2024

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.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0688 · severity code D · corrected Oct 18, 2024

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

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0684 · severity code D · corrected Oct 4, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint

Tag F0656 · severity code D · corrected Oct 4, 2024

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

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint

Tag F0658 · severity code D · corrected Oct 2, 2024

Reasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm (pattern) Resident Rights Complaint

Tag F0558 · severity code E · corrected Sep 19, 2024

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

Potential for more than minimal harm (isolated) Resident Rights Complaint

Tag F0550 · severity code D · corrected Sep 19, 2024

Provide and implement an infection prevention and control program.

Potential for more than minimal harm (isolated) Infection Control Complaint

Tag F0880 · severity code D · corrected Aug 30, 2024

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

Potential for more than minimal harm (isolated) Nutrition and Dietary Complaint

Tag F0812 · severity code D · corrected Aug 6, 2024

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

Potential for more than minimal harm (isolated) Nutrition and Dietary Complaint

Tag F0803 · severity code D · corrected Aug 6, 2024

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0690 · severity code D · corrected May 29, 2024

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

Potential for more than minimal harm (isolated) Pharmacy Service Complaint

Tag F0755 · severity code D · corrected Jan 15, 2024

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

Potential for more than minimal harm (isolated) Resident Rights Complaint

Tag F0580 · severity code D · corrected Jan 15, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

Potential for more than minimal harm (pattern) Resident Assessment and Care Planning

Tag F0645 · severity code E · corrected Nov 10, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm (pattern) Resident Assessment and Care Planning

Tag F0656 · severity code E · corrected Nov 10, 2023

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

Potential for more than minimal harm (pattern) Quality of Life and Care

Tag F0686 · severity code E · corrected Nov 10, 2023

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

Potential for more than minimal harm (pattern) Quality of Life and Care

Tag F0695 · severity code E · corrected Nov 10, 2023

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.

Potential for more than minimal harm (pattern) Pharmacy Service

Tag F0761 · severity code E · corrected Nov 10, 2023

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

Potential for more than minimal harm (pattern) Nutrition and Dietary

Tag F0812 · severity code E · corrected Nov 10, 2023

Dispose of garbage and refuse properly.

Potential for more than minimal harm (pattern) Nutrition and Dietary

Tag F0814 · severity code E · corrected Nov 10, 2023

Provide and implement an infection prevention and control program.

Potential for more than minimal harm (pattern) Infection Control

Tag F0880 · severity code E · corrected Nov 10, 2023

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

Potential for more than minimal harm (isolated) Resident Rights

Tag F0580 · severity code D · corrected Nov 10, 2023

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

Potential for more than minimal harm (isolated) Resident Rights

Tag F0552 · severity code D · corrected Nov 10, 2023

Honor 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.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0584 · severity code D · corrected Nov 10, 2023

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

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0689 · severity code D · corrected Nov 10, 2023

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

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0692 · severity code D · corrected Nov 10, 2023

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

Potential for more than minimal harm (isolated) Nursing and Physician Services

Tag F0711 · severity code D · corrected Nov 10, 2023

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

Potential for more than minimal harm (isolated) Pharmacy Service

Tag F0755 · severity code D · corrected Nov 10, 2023

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.

Potential for more than minimal harm (isolated) Pharmacy Service

Tag F0758 · severity code D · corrected Nov 10, 2023

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

Potential for more than minimal harm (isolated) Environmental

Tag F0919 · severity code D · corrected Nov 10, 2023

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

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0689 · severity code D · corrected Oct 31, 2023