AYDEN HEALTHCARE OF MADEIRA

This section preserves official CMS inspection text matched to this facility from the current provider page source.

B6-INSP Inspections and official narratives P1 DIFF
CMS Health Deficiencies rows stay the citation spine. CMS Form 2567 inspection content is shown for this facility's cited F-tags and survey dates.
CMS scope and severity
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
No harm, potential
D 15
E 8
F 4
Minimal harm
A
B
C
Shaded cells were cited in the latest survey cycle. Down and right is more serious.
Deficiency trend
Health deficiencies by cycle: 27, then 25, then 28 . Latest survey date: 2025-12-16.
Repeat citations
Tag Plain English Previous Latest Sev F0584 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. prior cycle latest cycle E F0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. prior cycle latest cycle D F0657 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. prior cycle latest cycle E F0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. prior cycle latest cycle E F0791 Provide or obtain dental services for each resident. prior cycle latest cycle D F0803 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. prior cycle latest cycle F F0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. prior cycle latest cycle F F0880 CMS deficiency tag prior cycle latest cycle CMS data shows 8 repeat deficiency tags between the latest two cycles.
Recent citations
Date Tag Category Sev Found how Corrected 2025-12-16 F0558 Resident Rights Deficiencies D standard 2026-01-16 2025-12-16 F0584 Resident Rights Deficiencies E complaint 2026-01-16 2025-12-16 F0628 Resident Rights Deficiencies D standard 2026-01-16 2025-12-16 F0656 Resident Assessment and Care Planning Deficiencies D standard 2026-01-16 2025-12-16 F0657 Resident Assessment and Care Planning Deficiencies E standard 2026-01-16 2025-12-16 F0679 Quality of Life and Care Deficiencies D standard 2026-01-16 2025-12-16 F0684 Quality of Life and Care Deficiencies D complaint 2026-01-16 2025-12-16 F0685 Quality of Life and Care Deficiencies D standard 2026-01-16 2025-12-16 F0689 Quality of Life and Care Deficiencies E complaint 2026-01-16 2025-12-16 F0692 Quality of Life and Care Deficiencies D standard 2026-01-16 2025-12-16 F0693 Quality of Life and Care Deficiencies D standard 2026-01-16 2025-12-16 F0695 Quality of Life and Care Deficiencies D standard 2026-01-16 2025-12-16 F0759 Pharmacy Service Deficiencies D standard 2026-01-16 2025-12-16 F0760 Pharmacy Service Deficiencies D standard 2026-01-16 2025-12-16 F0770 Administration Deficiencies D standard 2026-01-16 2025-12-16 F0791 Quality of Life and Care Deficiencies D standard 2026-01-16 2025-12-16 F0800 Nutrition and Dietary Deficiencies D complaint 2026-01-16 2025-12-16 F0803 Nutrition and Dietary Deficiencies F standard 2026-01-16 2025-12-16 F0808 Nutrition and Dietary Deficiencies E complaint 2026-01-16 2025-12-16 F0812 Nutrition and Dietary Deficiencies F standard 2026-01-16
Official CMS inspection narrative
F0558 · 2025-12-16 · severity D
Official inspection narrative not available for this citation.
F0584 · 2025-12-16 · severity E
Official inspection narrative not available for this citation.
F0628 · 2025-12-16 · severity D
Official inspection narrative not available for this citation.
F0656 · 2025-12-16 · severity D
Official inspection narrative not available for this citation.
F0657 · 2025-12-16 · severity E
Official inspection narrative not available for this citation.
F0679 · 2025-12-16 · severity D
Official inspection narrative not available for this citation.
F0684 · 2025-12-16 · severity D
Official inspection narrative not available for this citation.
F0685 · 2025-12-16 · severity D
Official inspection narrative not available for this citation.
F0689 · 2025-12-16 · severity E
Official inspection narrative not available for this citation.
F0692 · 2025-12-16 · severity D
Official inspection narrative not available for this citation.
F0693 · 2025-12-16 · severity D
Official inspection narrative not available for this citation.
F0695 · 2025-12-16 · severity D
Official inspection narrative not available for this citation.
F0759 · 2025-12-16 · severity D
Official inspection narrative not available for this citation.
F0760 · 2025-12-16 · severity D
Official inspection narrative not available for this citation.
F0770 · 2025-12-16 · severity D
Official inspection narrative not available for this citation.
F0791 · 2025-12-16 · severity D
Official inspection narrative not available for this citation.
F0800 · 2025-12-16 · severity D
Official inspection narrative not available for this citation.
F0803 · 2025-12-16 · severity F
Official inspection narrative not available for this citation.
F0808 · 2025-12-16 · severity E
Official inspection narrative not available for this citation.
F0812 · 2025-12-16 · severity F
Official inspection narrative not available for this citation.
CMS Form 2567 inspection report text
The inspection text below is attributed to CMS Form 2567 records when a matching official source is available.
Inspection Report:
2024-01-24
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
28
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2025-12-16 | Tag F0584 | Resident Rights Deficiencies | Severity: E
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.
---
Survey: 2025-12-16 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2025-12-16 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2025-12-16 | Tag F0800 | Nutrition and Dietary Deficiencies | Severity: D
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
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Survey: 2025-12-16 | Tag F0808 | Nutrition and Dietary Deficiencies | Severity: E
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
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Survey: 2025-12-16 | Tag F0921 | Environmental Deficiencies | Severity: E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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Survey: 2025-07-09 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2024-01-24 | Tag F0550 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2024-01-24 | Tag F0565 | Resident Rights Deficiencies | Severity: E
Honor the resident's right to organize and participate in resident/family groups in the facility.
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Survey: 2024-01-24 | Tag F0584 | Resident Rights Deficiencies | Severity: E
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.
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Survey: 2024-01-24 | Tag F0644 | Resident Assessment and Care Planning Deficiencies | Severity: D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Survey: 2024-01-24 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
---
Survey: 2024-01-24 | Tag F0657 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Survey: 2024-01-24 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2024-01-24 | Tag F0686 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Survey: 2024-01-24 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2024-01-24 | Tag F0727 | Nursing and Physician Services Deficiencies | Severity: F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
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Survey: 2024-01-24 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Survey: 2024-01-24 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D
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.
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Survey: 2024-01-24 | Tag F0791 | Quality of Life and Care Deficiencies | Severity: D
Provide or obtain dental services for each resident.
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Survey: 2024-01-24 | Tag F0803 | Nutrition and Dietary Deficiencies | Severity: F
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.
---
Survey: 2024-01-24 | Tag F0804 | Nutrition and Dietary Deficiencies | Severity: F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Survey: 2024-01-24 | Tag F0810 | Nutrition and Dietary Deficiencies | Severity: D
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
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Survey: 2024-01-24 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2024-01-24 | Tag F0865 | Administration Deficiencies | Severity: F
Have a plan that describes the process for conducting QAPI and QAA activities.
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Survey: 2024-01-24 | Tag F0868 | Administration Deficiencies | Severity: F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Survey: 2024-01-24 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2024-01-24 | Tag F0690 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Survey: 2024-11-13 | Tag F0755 | Pharmacy Service Deficiencies | Severity: D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Survey: 2024-11-13 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Survey: 2024-09-19 | Tag F0656 | Resident Assessment and Care Planning Deficiencies | Severity: D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
---
Survey: 2024-07-16 | Tag F0727 | Nursing and Physician Services Deficiencies | Severity: F
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
---
Survey: 2024-05-13 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: D
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2020-01-11 | Tag F0565 | Resident Rights Deficiencies | Severity: F
Honor the resident's right to organize and participate in resident/family groups in the facility.
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Survey: 2020-01-11 | Tag F0568 | Resident Rights Deficiencies | Severity: B
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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Survey: 2020-01-11 | Tag F0584 | Resident Rights Deficiencies | Severity: D
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.
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Survey: 2020-01-11 | Tag F0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: F
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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Survey: 2020-01-11 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2020-01-11 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2020-01-11 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2020-01-11 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2020-01-11 | Tag F0692 | Quality of Life and Care Deficiencies | Severity: D
Provide enough food/fluids to maintain a resident's health.
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Survey: 2020-01-11 | Tag F0756 | Pharmacy Service Deficiencies | Severity: D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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Survey: 2020-01-11 | Tag F0758 | Pharmacy Service Deficiencies | Severity: D
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.
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Survey: 2020-01-11 | Tag F0759 | Pharmacy Service Deficiencies | Severity: E
Ensure medication error rates are not 5 percent or greater.
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Survey: 2020-01-11 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2020-01-11 | Tag F0761 | Pharmacy Service Deficiencies | Severity: D
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.
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Survey: 2020-01-11 | Tag F0790 | Quality of Life and Care Deficiencies | Severity: D
Provide routine and 24-hour emergency dental care for each resident.
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Survey: 2020-01-11 | Tag F0803 | Nutrition and Dietary Deficiencies | Severity: D
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.
---
Survey: 2020-01-11 | Tag F0804 | Nutrition and Dietary Deficiencies | Severity: F
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Survey: 2020-01-11 | Tag F0809 | Nutrition and Dietary Deficiencies | Severity: D
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
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Survey: 2020-01-11 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2020-01-11 | Tag F0868 | Administration Deficiencies | Severity: F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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Survey: 2020-01-11 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2023-12-28 | Tag F0803 | Nutrition and Dietary Deficiencies | Severity: F
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.
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Survey: 2023-12-28 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2023-11-21 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2023-11-21 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Survey: 2023-11-21 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2023-08-02 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2023-03-09 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Survey: 2023-03-09 | Tag F0842 | Resident Assessment and Care Planning Deficiencies | Severity: D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Survey: 2019-03-28 | Tag F0550 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Survey: 2019-03-28 | Tag F0582 | Resident Rights Deficiencies | Severity: D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
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Survey: 2019-03-28 | Tag F0584 | Resident Rights Deficiencies | Severity: D
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.
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Survey: 2019-03-28 | Tag F0865 | Administration Deficiencies | Severity: F
Have a plan that describes the process for conducting QAPI and QAA activities.
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Survey: 2019-03-28 | Tag F0914 | Environmental Deficiencies | Severity: D
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.
Source rule. Official inspection text is quoted verbatim only when an official CMS Form 2567 source matches the CMS citation row. Citations without a matching official narrative remain labeled as not available.