Frederick Villa Healthcare
FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD — inspection on August 28, 2025.
Found 30 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-08-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0578 during a standard health inspection conducted on 2025-08-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0580 during a standard health inspection conducted on 2025-08-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
The surveyor pointed out the above observations.
When asked if the findings in these observations would be considered a comfortable, homelike environment, the NHA stated no.
215178 08/28/2025
Frederick Villa Healthcare 711 Academy Road Catonsville, MD 21228
Review of Staff #34's employee file on 8/26/25 revealed he was terminated on 10/11/23.
The two transactions on 8/1/23 were prior to termination. Resident #104 was interviewed on 8/26/25 at 8:16 AM.
This surveyor asked if the resident could explain what happened in April 2024 with staff using the bank card.
Resident confirmed it happened and said there have been no more issues or incidents since April 2024.
Resident went on to say that they made me go to court, but I told them to drop the charges because I don't believe in sending people to jail.This surveyor interviewed the Administrator on 8/28/25 at 8:59 AM.
The Administrator said the Geriatric Nursing Assistant (GNA), Staff #34, used his cash app to transfer funds from the resident's account to his account so he could give cash to the resident. He added that he was unaware until after the GNA was terminated that the GNA was using the resident's ATM card as well as the cash app. He said the cash app was used by the GNA to get the resident money the resident requested.
This surveyor asked if this was the usual way for residents to get money. He didn't respond directly to this question. He said that it was between the resident and the GNA. He said that he had no way of knowing if the GNA gave the resident the money withdrawn from the resident's account. He then said the GNA was terminated and was called by him weeks after the termination to assist the resident to get the resident's money back.
The surveyor stated that the facility was responsible for the actions of staff while under employment. He said, again, that he was unaware of the GNA assisting the resident to get money until after the termination.
This surveyor asked why the GNA was terminated, and he replied that he did not know.
This surveyor asked him to find out and to provide me with a policy on staff obtaining money for a resident. A review of the facility policy entitled Conduct and Behavior on 8/28/25 revealed that under section 2B a staff person may not Misuse or abuse of nursing home funds, dishonesty, theft, misrepresentation employment.
215178 08/28/2025
Frederick Villa Healthcare 711 Academy Road Catonsville, MD 21228
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2025-08-28.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
reporting agency, and any allegation needs to be reported. It is up to our office to decide if we are
notification. He replied he understood.
215178 08/28/2025
Frederick Villa Healthcare 711 Academy Road Catonsville, MD 21228
assessment was completed on the day the incident was reported and validated that all such incidents
215178 08/28/2025
Frederick Villa Healthcare 711 Academy Road Catonsville, MD 21228
bed-hold policies.
that the facility failed to ensure the resident's discharge papers were completed.
This was evident for
survey.The findings includes:Review of an attachment to a complaint intake #337241 on 8/27/2025 at 10:24 AM was reviewed and the complainant stated that on 1/23/2025 the discharge papers for Resident #127 were not completely filled out.On 8/27/2025 at 10:53 Resident # 127's closed medical record was reviewed.
The resident was discharged on 1/23/2025.
The discharge documentation titled Engage Discharge Planning Tool was reviewed and surveyor noted that the following areas were blank:1.
Section B. responsible parties' information2.
Section C.
Primary physician information3.
Section O.
Staff Signature and Residents or Responsible Party Signature4.
Section R.
Medication list5.
Section R -Question #7.
May attach pharmacy print out of medication regimen in lieu of completion of this section.
Yes, No, N/A.
There was no medication list, and no check off for yes, no or N/A.On 8/28/2025 at 09:57an interview was conducted with the Unit Manager, Staff # 19 who stated that the discharge paperwork engage discharge planning tool was initiated by the Social worker and the physician, nurse, Rehab, Activities, and Dietician fills out their section.
Staff #19 further stated that when a resident is discharged the medication list is not printed out and the new prescribed medications are given to the residents on paper prescription and the discharging nurse would click box that medication list was not printed out. In addition, the resident or responsible party would sign a copy of the discharge paper that would be placed in the hardcopy chart.On 8/28/2025 at 10:30 AM, an interview was conducted with the Social Worker, Staff #6 who stated that each area of the Engage Discharge Planning Tool should be filled out prior to hand off to the resident or the responsible party.At approximately 11:34 AM on 8/28/2025 the Director of Nursing was informed of the discharge documentation that was found in the medical records with blank areas. No other documentation was provided related to Resident #127's discharge. DON agreed that this was a concern.
215178 08/28/2025
Frederick Villa Healthcare 711 Academy Road Catonsville, MD 21228
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-28.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
section, it was also empty with no information. A dual observation of the document was conducted
that the resident or RP received a copy of the BLCP including a list of medications.
The RDCO and
title and date on the last page of the BLCP.
215178 08/28/2025
Frederick Villa Healthcare 711 Academy Road Catonsville, MD 21228
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-08-28.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
During the interview when asked how she knows what level of assistance each resident on her assignment needs with toileting and eating she stated, We get report from the off going GNA. GNA #50 was interviewed on 8/28/25 at 1:22 PM During the interview when asked how she knows what level of assistance each resident on her assignment needs with toileting and eating she stated, I would find that out in the computer. I would go back and click to see how it was completed on the previous shift and if they were set up last shift, that's what I'd do. On 8/28/25 at 12:16 PM in an interview with the Director of Nursing (DON) when asked how GNA's know the level of assistance residents need for eating and toileting she stated that they are told during report.
When asked if there was a place for GNAs to look in the medical record for that information, she stated no, they are given report.
The surveyor shared concerns that when reviewing the resident's medical record for toileting transfer, there was documentation that ranged all the way from dependent to independent even though the resident is coded as Supervision or touching assistance and residents not getting the required level of assistance required.
The DON verified and confirmed understanding.
215178 08/28/2025
Frederick Villa Healthcare 711 Academy Road Catonsville, MD 21228
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
given for a pain score of 6 and the Oxycodone for a pain score of 1.
215178 08/28/2025
Frederick Villa Healthcare 711 Academy Road Catonsville, MD 21228
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0730 during a standard health inspection conducted on 2025-08-28.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Observe each nurse aide's job performance and give regular training.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0757 during a standard health inspection conducted on 2025-08-28.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-28.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: 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.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0791 during a standard health inspection conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide or obtain dental services for each resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-08-28.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
in accordance with accepted professional standards.
determined that the facility failed to maintain medical records on each resident that were complete
resident records reviewed during the survey process.
The findings included: 1) On 08/27/2025 at approximately 5:00 PM, a review of facility reported incident #2578127 revealed that on 07/29/2025 at 3:24 PM, Resident received a one-time dose of Narcan due to the resident unresponsiveness to call and drowsiness.
The nurse contacted the physician, and he ordered a dose of Narcan to be administered to the resident.
A review of the 7/29/2025 3:36PM Nursing Progress Note stated: Narcan was administered due to sleeping excessively and resident was alert to person, place and time.
Denied pain no discomfort noted.
Will continue to monitor.
On 08/28/2025 at 2:10 PM, in an interview with the Director of Nursing (DON) she was asked to explain the circumstances surrounding the above-mentioned event.
The DON stated that Resident #74 was sent on a leave of absence from the facility due to a family emergency.
Upon the resident’s return to the facility the resident’s behavior was significantly different.
The resident’s nurse was unsure if the resident took any other medication while out of the facility as a precaution the nurse notified the physician and a one-time dose of Narcan was ordered.
The medication was administered and was effective.
On 08/28/2025 at 2:32 PM, a review of Resident #74’s Medication Administration Record (MAR) for the month of July 2025 revealed that the medication was not signed off on the MAR to indicate when the one-time dose of Narcan was administered, as required.
There was also documented evidence to support that the resident’s behavior was being monitored routinely.
On 8/28/2025 at 3: 00 PM the DON was notified that the facility failed to have documented evidence to support that the Narcan administration was documented using professional standard of practice. 2) A review of Resident #127's clinical record revealed that the resident was admitted to the facility with a therapeutic boot.
The resident had a consultation with the orthopedist on 11/7/23.
The consultation report included a recommendation to continue using the boot to assist with weight bearing as tolerated.
The Director of Nursing was interviewed on 8/28/25 at 1:15 PM.
She was asked what her expectations for nursing were when they received this consultation.
She replied that she would expect nursing to follow the recommendations.
Further review of the clinical record revealed that there was no evidence that nursing staff were documenting the use of the boot on the Treatment Administration Record.
The Administrator was informed of the findings on 8/28/25 at 1:40 PM. He replied that he understood.
215178 08/28/2025
Frederick Villa Healthcare 711 Academy Road Catonsville, MD 21228
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-28.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0881 during a standard health inspection conducted on 2025-08-28.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Implement a program that monitors antibiotic use.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0882 during a standard health inspection conducted on 2025-08-28.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0883 during a standard health inspection conducted on 2025-08-28.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Develop and implement policies and procedures for flu and pneumonia vaccinations.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Federal health inspectors cited FREDERICK VILLA HEALTHCARE in CATONSVILLE, MD for a deficiency under regulatory tag F-F0887 during a standard health inspection conducted on 2025-08-28.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 30 deficiencies cited during this inspection of FREDERICK VILLA HEALTHCARE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-03.
Review of the Pest Problem Log on 8/27/25 at 9:42 AM revealed the following entries in patient care areas:11/13/24 room [ROOM NUMBER]: roaches, mice11/13/24 room [ROOM NUMBER]: roaches, mice1/21/25 room [ROOM NUMBER]: roaches2/6/25 Medication room [ROOM NUMBER], 2, 3: ants, roaches, mice, mice droppings4/21/25 Rooms 118, 115, 120, 116, 117: roaches4/21/25 Rooms 217-220: roaches, mice4/22/25 Rooms 105, 106, 111, 112: roaches4/23/25 Break room: ants4/25/25 Front area: roaches5/2/25 Rooms: 207-209: water bugs5/2/25 Rooms: 100, 109: mice5/15/25 Rooms 204: spiders5/20/25 Unit 3 nurse's station: ants 5/20/25 room [ROOM NUMBER]: roaches 5/25/25 Rooms 211, 220: ants5/26/25 room [ROOM NUMBER]: bugs5/27/25 room [ROOM NUMBER]: bugs5/29/25 Rooms 211, 220: ants5/31/25 room [ROOM NUMBER]: spiders5/31/25 room [ROOM NUMBER]: ants6/1/25 room [ROOM NUMBER]: spiders6/1/25 room [ROOM NUMBER]: roaches 6/2/25 room [ROOM NUMBER]: spiders6/2/25 Rehab: roaches6/4/25 Rooms 102, 104, 106: ants, roaches6/4/25 room [ROOM NUMBER]-120: ants, roaches6/24/25 Laundry room: roaches7/16/25 Conference room: roaches, mice8/6/25 Rooms 202, 208, 314, 315: roaches, mice8/6/25 room [ROOM NUMBER]: roaches, mice8/6/25 Shower rooms 1, 2, 3: ants, roaches, mice8/8/25 room [ROOM NUMBER]: gnats8/12/25 room [ROOM NUMBER]: flies, gnats8/15/25 room [ROOM NUMBER]: flies On 8/27/25 at 8:21 AM in an interview with the Nursing Home Administrator (NHA) when asked if he has seen roaches and rodents in the facility he stated, Yes, we live in the state of Maryland and so I have seen roaches and rodents in the facility. We do have a pest management company. On 8/27/25 at 9:16 AM in an interview with the NHA, the surveyor shared the concerns that there was a complaint filed regarding the roaches and rodents, that the logs show sightings of roaches and rodents, and that he verified and confirmed that there are roaches and rodents in the facility.
During the interview, the NHA stated this building was an old building and being surrounded by woods and water, it was a continuous effort to keep the pests and rodents out of the building.
The surveyor shared this issue was a concern and the NHA stated, sure, I understand.
215178 08/28/2025
Frederick Villa Healthcare 711 Academy Road Catonsville, MD 21228
The surveyor shared concerns that Staff #39's training was completed two months after the hire date, and the NHA validated the concern.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.