Monument Healthcare Murray Creek

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 1
H 1
I
No harm, potential
D 8
E 2
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: 16, then 11, then 23 . Latest survey date: 2025-06-28.
Repeat citations
Tag Plain English Previous Latest Sev F0554 Allow residents to self-administer drugs if determined clinically appropriate. prior cycle latest cycle D F0609 Timely report suspected resident-safety incidents or theft and report the results of the investigation to proper authorities. 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 F0677 Provide care and assistance to perform activities of daily living for any resident who is unable. prior cycle latest cycle D F0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. prior cycle latest cycle G CMS data shows 5 repeat deficiency tags between the latest two cycles.
Recent citations
Date Tag Category Sev Found how Corrected 2025-06-28 F0554 Resident Rights Deficiencies D standard 2025-07-23 2025-06-28 F0600 Resident protection deficiencies H complaint 2025-07-23 2025-06-28 F0609 Resident protection deficiencies E standard 2025-07-23 2025-06-28 F0610 Resident protection deficiencies E standard 2025-07-23 2025-06-28 F0656 Resident Assessment and Care Planning Deficiencies D standard 2025-07-23 2025-06-28 F0677 Quality of Life and Care Deficiencies D standard 2025-07-23 2025-06-28 F0679 Quality of Life and Care Deficiencies D standard 2025-07-23 2025-06-28 F0688 Quality of Life and Care Deficiencies D standard 2025-07-23 2025-06-28 F0842 Resident Assessment and Care Planning Deficiencies D standard 2025-07-23 2025-06-28 F0847 Administration Deficiencies F standard 2025-07-23 2025-06-28 F0848 Administration Deficiencies F standard 2025-07-23 2025-06-28 F0868 Administration Deficiencies F standard 2025-07-23 2025-06-28 F0880 Infection Control Deficiencies F standard 2025-07-23 2025-06-28 F0910 Environmental Deficiencies D standard 2025-07-23
Official CMS inspection narrative
F0554 · 2025-06-28 · severity D
Official inspection narrative not available for this citation.
F0600 · 2025-06-28 · severity H
Official inspection narrative not available for this citation.
F0609 · 2025-06-28 · severity E
Official inspection narrative not available for this citation.
F0610 · 2025-06-28 · severity E
Official inspection narrative not available for this citation.
F0656 · 2025-06-28 · severity D
Official inspection narrative not available for this citation.
F0677 · 2025-06-28 · severity D
Official inspection narrative not available for this citation.
F0679 · 2025-06-28 · severity D
Official inspection narrative not available for this citation.
F0688 · 2025-06-28 · severity D
Official inspection narrative not available for this citation.
F0842 · 2025-06-28 · severity D
Official inspection narrative not available for this citation.
F0847 · 2025-06-28 · severity F
Official inspection narrative not available for this citation.
F0848 · 2025-06-28 · severity F
Official inspection narrative not available for this citation.
F0868 · 2025-06-28 · severity F
Official inspection narrative not available for this citation.
F0880 · 2025-06-28 · severity F
Official inspection narrative not available for this citation.
F0910 · 2025-06-28 · severity D
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:
2025-06-28
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
14
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2025-06-28 | Tag F0554 | Resident Rights Deficiencies | Severity: D
Allow residents to self-administer drugs if determined clinically appropriate.
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Survey: 2025-06-28 | Tag F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Survey: 2025-06-28 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: E
Respond appropriately to all alleged violations.
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Survey: 2025-06-28 | 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.
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Survey: 2025-06-28 | 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: 2025-06-28 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: D
Provide activities to meet all resident's needs.
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Survey: 2025-06-28 | Tag F0688 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
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Survey: 2025-06-28 | 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: 2025-06-28 | Tag F0847 | Administration Deficiencies | Severity: F
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
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Survey: 2025-06-28 | Tag F0848 | Administration Deficiencies | Severity: F
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
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Survey: 2025-06-28 | 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: 2025-06-28 | Tag F0880 | Infection Control Deficiencies | Severity: F
Provide and implement an infection prevention and control program.
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Survey: 2025-06-28 | Tag F0910 | Environmental Deficiencies | Severity: D
Ensure resident rooms meet each resident's needs.
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Survey: 2025-06-28 | Tag F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: H
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: 2023-08-31 | Tag F0554 | Resident Rights Deficiencies | Severity: E
Allow residents to self-administer drugs if determined clinically appropriate.
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Survey: 2023-08-31 | 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: 2023-08-31 | Tag F0636 | Resident Assessment and Care Planning Deficiencies | Severity: D
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
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Survey: 2023-08-31 | Tag F0638 | Resident Assessment and Care Planning Deficiencies | Severity: D
Assure that each resident’s assessment is updated at least once every 3 months.
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Survey: 2023-08-31 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: D
Ensure each resident receives an accurate assessment.
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Survey: 2023-08-31 | 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.
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Survey: 2023-08-31 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: E
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2023-08-31 | 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: 2023-08-31 | Tag F0695 | Quality of Life and Care Deficiencies | Severity: E
Provide safe and appropriate respiratory care for a resident when needed.
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Survey: 2023-08-31 | 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: 2023-08-31 | 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: 2024-01-31 | Tag F0689 | Quality of Life and Care Deficiencies | Severity: G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Survey: 2023-08-31 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2021-12-06 | Tag F0558 | Resident Rights Deficiencies | Severity: D
Reasonably accommodate the needs and preferences of each resident.
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Survey: 2021-12-06 | Tag F0578 | Resident Rights Deficiencies | Severity: D
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.
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Survey: 2021-12-06 | 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: 2021-12-06 | Tag F0585 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
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Survey: 2021-12-06 | 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.
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Survey: 2021-12-06 | Tag F0676 | Quality of Life and Care Deficiencies | Severity: D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
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Survey: 2021-12-06 | Tag F0677 | Quality of Life and Care Deficiencies | Severity: E
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Survey: 2021-12-06 | 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: 2021-12-06 | 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: 2021-12-06 | 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: 2021-12-06 | 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: 2021-12-06 | Tag F0697 | Quality of Life and Care Deficiencies | Severity: D
Provide safe, appropriate pain management for a resident who requires such services.
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Survey: 2021-12-06 | Tag F0725 | Nursing and Physician Services Deficiencies | Severity: E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Survey: 2021-12-06 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2021-12-06 | 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: 2021-12-06 | 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: 2021-12-06 | Tag F0807 | Nutrition and Dietary Deficiencies | Severity: D
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
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Survey: 2021-12-06 | 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: 2021-12-06 | 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: 2021-12-06 | Tag F0880 | Infection Control Deficiencies | Severity: E
Provide and implement an infection prevention and control program.
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Survey: 2021-12-06 | Tag F0886 | Infection Control Deficiencies | Severity: E
Perform COVID19 testing on residents and staff.
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.