CARECORE AT MARY SCOTT

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

Inspection Report:
2022-07-21
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
19
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2025-12-13 | Tag F0552 | Resident Rights Deficiencies | Severity: D
Ensure that residents are fully informed and understand their health status, care and treatments.
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Survey: 2025-12-13 | Tag F0576 | Resident Rights Deficiencies | Severity: D
Ensure residents have reasonable access to and privacy in their use of communication methods.
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Survey: 2025-12-13 | 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: 2025-12-13 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: E
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: 2025-08-12 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2025-08-12 | Tag F0695 | Quality of Life and Care Deficiencies | Severity: D
Provide safe and appropriate respiratory care for a resident when needed.
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Survey: 2022-07-21 | Tag F0553 | Resident Rights Deficiencies | Severity: D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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Survey: 2022-07-21 | 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: 2022-07-21 | 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: 2022-07-21 | Tag F0698 | Quality of Life and Care Deficiencies | Severity: D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Survey: 2022-07-21 | Tag F0757 | Pharmacy Service Deficiencies | Severity: G
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2022-07-21 | Tag F0761 | Pharmacy Service Deficiencies | Severity: F
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: 2022-07-21 | Tag F0770 | Administration Deficiencies | Severity: D
Provide timely, quality laboratory services/tests to meet the needs of residents.
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Survey: 2022-07-21 | Tag F0791 | Quality of Life and Care Deficiencies | Severity: D
Provide or obtain dental services for each resident.
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Survey: 2022-07-21 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: E
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: 2022-07-21 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2022-07-21 | Tag F0883 | Infection Control Deficiencies | Severity: E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Survey: 2022-07-21 | Tag F0885 | Infection Control Deficiencies | Severity: F
Report COVID19 data to residents and families.
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Survey: 2022-07-21 | Tag F0887 | Infection Control Deficiencies | Severity: D
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.
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Survey: 2025-01-24 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: E
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: 2024-12-27 | 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: 2024-12-27 | 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: 2024-10-29 | 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: 2019-06-06 | 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: 2019-06-06 | Tag F0576 | Resident Rights Deficiencies | Severity: E
Ensure residents have reasonable access to and privacy in their use of communication methods.
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Survey: 2019-06-06 | 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: 2019-06-06 | Tag F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
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Survey: 2019-06-06 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: E
Ensure each resident receives an accurate assessment.
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Survey: 2019-06-06 | 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: 2019-06-06 | 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: 2019-06-06 | 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: 2019-06-06 | Tag F0695 | Quality of Life and Care Deficiencies | Severity: D
Provide safe and appropriate respiratory care for a resident when needed.
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Survey: 2019-06-06 | Tag F0698 | Quality of Life and Care Deficiencies | Severity: D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
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Survey: 2019-06-06 | Tag F0711 | Nursing and Physician Services Deficiencies | Severity: E
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.
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Survey: 2019-06-06 | 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: 2019-06-06 | Tag F0761 | Pharmacy Service Deficiencies | Severity: E
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: 2019-06-06 | Tag F0770 | Administration Deficiencies | Severity: D
Provide timely, quality laboratory services/tests to meet the needs of residents.
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Survey: 2019-06-06 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2019-06-06 | Tag F0919 | Environmental Deficiencies | Severity: E
Make sure that a working call system is available in each resident's bathroom and bathing area.
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Survey: 2023-11-28 | 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: 2023-05-30 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2018-05-03 | 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: 2018-05-03 | Tag F0568 | Resident Rights Deficiencies | Severity: E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
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Survey: 2018-05-03 | Tag F0583 | Resident Rights Deficiencies | Severity: D
Keep residents' personal and medical records private and confidential.
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Survey: 2018-05-03 | Tag F0623 | Resident Rights Deficiencies | Severity: E
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
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Survey: 2018-05-03 | Tag F0625 | Resident Rights Deficiencies | Severity: E
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.
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Survey: 2018-05-03 | 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: 2018-05-03 | Tag F0678 | Quality of Life and Care Deficiencies | Severity: D
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
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Survey: 2018-05-03 | 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: 2018-05-03 | Tag F0712 | Nursing and Physician Services Deficiencies | Severity: D
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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Survey: 2018-05-03 | Tag F0770 | Administration Deficiencies | Severity: D
Provide timely, quality laboratory services/tests to meet the needs of residents.
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Survey: 2018-05-03 | Tag F0804 | Nutrition and Dietary Deficiencies | Severity: E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Survey: 2018-05-03 | Tag F0812 | Nutrition and Dietary Deficiencies | Severity: D
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: 2018-05-03 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
Source: U.S. Centers for Medicare & Medicaid Services. Data reflects the most recent available inspection.