The Shoal

Scope/severity G — ACTUAL HARM

Survey 2025-04-25 · Tag F0600 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-05-19

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

What this scope/severity letter means: A resident was actually harmed. CMS found real harm occurred, affecting one resident. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-04-25 · Tag F0557 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-19

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-04-25 · Tag F0641 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-19

Ensure each resident receives an accurate assessment.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-04-25 · Tag F0685 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-19

Assist a resident in gaining access to vision and hearing services.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-04-25 · Tag F0761 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-19

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.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-04-25 · Tag F0880 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-05-19

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-02-14 · Tag F0636 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-03-08

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-02-14 · Tag F0640 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-03-08

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-02-14 · Tag F0657 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-03-08

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2024-02-14 · Tag F0812 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-02-16

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2023-07-07 · Tag F0644 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-08-11

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works