Focused Care at Webster

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2025-10-08 · Tag F0600 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-10-31

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: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2025-10-08 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-10-31

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

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity H — ACTUAL HARM

Survey 2024-02-01 · Tag F0755 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-02-21

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

What this scope/severity letter means: Residents were actually harmed, in a repeated pattern rather than a one-off. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-04-01 · Tag F0755 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-04-25

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

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 2026-04-01 · Tag F0761 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-04-25

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 2026-03-10 · Tag F0684 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-04-03

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

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 2026-03-10 · Tag F0695 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-04-03

Provide safe and appropriate respiratory care for a resident when 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

Scope/severity E — Potential for harm

Survey 2025-11-18 · Tag F0921 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-12-20

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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 E — Potential for harm

Survey 2025-11-18 · Tag F0925 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-12-20

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

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 2025-01-30 · Tag F0576 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-01-31

Ensure residents have reasonable access to and privacy in their use of communication methods.

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 2025-01-30 · Tag F0602 · Complaint investigation · Past Non-Compliance · Correction reported 2024-12-31

Protect each resident from the wrongful use of the resident's belongings or money.

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 2025-01-30 · Tag F0640 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-01-31

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, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-01-30 · Tag F0694 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-01-31

Provide for the safe, appropriate administration of IV fluids for a resident when 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

Scope/severity D — Potential for harm

Survey 2025-01-30 · Tag F0755 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-01-31

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

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 2025-01-30 · Tag F0790 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-01-31

Provide routine and 24-hour emergency dental care for each resident.

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 2025-01-30 · Tag F0842 · Routine survey · Deficient, Provider has date of correction · Correction reported 2025-01-31

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

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 2024-11-21 · Tag F0600 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-01-06

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: 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 2024-10-25 · Tag F0580 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-11-25

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

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 2024-10-25 · Tag F0686 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-11-25

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

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 2024-10-25 · Tag F0842 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-11-25

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

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 2023-12-09 · Tag F0644 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-01-08

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

Scope/severity E — Potential for harm

Survey 2023-12-09 · Tag F0656 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-01-08

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

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 E — Potential for harm

Survey 2023-12-09 · Tag F0755 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-01-08

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

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 E — Potential for harm

Survey 2023-12-09 · Tag F0880 · Routine survey · Deficient, Provider has date of correction · Correction reported 2024-01-08

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, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2022-09-23 · Tag F0577 · Routine survey · Deficient, Provider has date of correction · Correction reported 2022-10-14

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

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