Peabody Manor

Honor 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.

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

Tag F0585 · severity code D · no correction date listed

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 Mar 20, 2026

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

Tag F0803 · severity code E · corrected Apr 10, 2026

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm (pattern) Resident Rights

Tag F0628 · severity code E · corrected Apr 10, 2026

Provide and implement an infection prevention and control program.

Potential for more than minimal harm (isolated) Infection Control

Tag F0880 · severity code D · corrected Apr 10, 2026

Ensure medication error rates are not 5 percent or greater.

Potential for more than minimal harm (isolated) Pharmacy Service

Tag F0759 · severity code D · corrected Apr 10, 2026

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 Mar 20, 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

Tag F0689 · severity code D · corrected Mar 20, 2026

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

Tag F0605 · severity code D · corrected Mar 20, 2026

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 (widespread) Nutrition and Dietary Complaint

Tag F0812 · severity code F · corrected Jul 30, 2025

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

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

Tag F0695 · severity code D · corrected Jul 30, 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 Jan 15, 2025

Provide and implement an infection prevention and control program.

Potential for more than minimal harm (isolated) Infection Control

Tag F0880 · severity code D · corrected Jan 15, 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 Jan 15, 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.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0625 · severity code D · corrected Jan 15, 2025

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0623 · severity code D · corrected Jan 15, 2025

Respond appropriately to all alleged violations.

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

Tag F0610 · severity code D · corrected Jul 1, 2024

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 Jul 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 (widespread) Nutrition and Dietary

Tag F0812 · severity code F · corrected Oct 6, 2023

Provide and implement an infection prevention and control program.

Potential for more than minimal harm (isolated) Infection Control

Tag F0880 · severity code D · corrected Oct 6, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

Tag F0842 · severity code D · corrected Oct 2, 2023

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

Potential for more than minimal harm (isolated) Pharmacy Service

Tag F0757 · severity code D · corrected Oct 30, 2023

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

Tag F0756 · severity code D · corrected Sep 29, 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 Oct 2, 2023