SAPPHIRE REHABILITATION AND CARE CENTER

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

Inspection Report:
2025-09-22
This report is the official CMS Statement of Deficiencies (Form 2567) filed after the most recent health inspection.
Each
49
is a federal standard the facility failed to meet.
Read the full inspection report
Survey: 2026-01-28 | Tag F0628 | Resident Rights Deficiencies | Severity: D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Survey: 2025-12-11 | Tag F0558 | Resident Rights Deficiencies | Severity: D
Reasonably accommodate the needs and preferences of each resident.
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Survey: 2025-12-11 | 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: 2025-12-11 | 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: 2025-12-11 | 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: 2025-12-11 | Tag F0759 | Pharmacy Service Deficiencies | Severity: D
Ensure medication error rates are not 5 percent or greater.
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Survey: 2025-12-11 | 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: 2025-12-11 | 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: 2025-12-11 | 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: 2025-12-11 | Tag F0919 | Environmental Deficiencies | Severity: F
Make sure that a working call system is available in each resident's bathroom and bathing area.
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Survey: 2025-12-11 | 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: 2025-11-14 | 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: 2025-06-23 | 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: 2025-05-12 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2025-03-04 | 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: 2025-03-04 | 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: 2025-03-04 | Tag F0825 | Quality of Life and Care Deficiencies | Severity: D
Provide or get specialized rehabilitative services as required for a resident.
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Survey: 2025-03-04 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2025-09-22 | Tag F0558 | Resident Rights Deficiencies | Severity: D
Reasonably accommodate the needs and preferences of each resident.
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Survey: 2025-09-22 | Tag F0570 | Resident Rights Deficiencies | Severity: E
Assure the security of all personal funds of residents deposited with the facility.
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Survey: 2025-09-22 | Tag F0583 | Resident Rights Deficiencies | Severity: D
Keep residents' personal and medical records private and confidential.
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Survey: 2025-09-22 | 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: 2025-09-22 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2025-09-22 | Tag F0641 | Resident Assessment and Care Planning Deficiencies | Severity: E
Ensure each resident receives an accurate assessment.
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Survey: 2025-09-22 | Tag F0645 | Resident Assessment and Care Planning Deficiencies | Severity: D
PASARR screening for Mental disorders or Intellectual Disabilities
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Survey: 2025-09-22 | Tag F0646 | Resident Assessment and Care Planning Deficiencies | Severity: D
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
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Survey: 2025-09-22 | 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: 2025-09-22 | 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: 2025-09-22 | Tag F0679 | Quality of Life and Care Deficiencies | Severity: D
Provide activities to meet all resident's needs.
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Survey: 2025-09-22 | Tag F0684 | Quality of Life and Care Deficiencies | Severity: E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Survey: 2025-09-22 | 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: 2025-09-22 | 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: 2025-09-22 | 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: 2025-09-22 | Tag F0691 | Quality of Life and Care Deficiencies | Severity: D
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
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Survey: 2025-09-22 | 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: 2025-09-22 | 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: 2025-09-22 | Tag F0740 | Quality of Life and Care Deficiencies | Severity: G
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Survey: 2025-09-22 | 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: 2025-09-22 | Tag F0757 | Pharmacy Service Deficiencies | Severity: D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Survey: 2025-09-22 | Tag F0760 | Pharmacy Service Deficiencies | Severity: D
Ensure that residents are free from significant medication errors.
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Survey: 2025-09-22 | 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: 2025-09-22 | Tag F0773 | Administration Deficiencies | Severity: D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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Survey: 2025-09-22 | Tag F0802 | Nutrition and Dietary Deficiencies | Severity: F
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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Survey: 2025-09-22 | 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: 2025-09-22 | Tag F0814 | Nutrition and Dietary Deficiencies | Severity: F
Dispose of garbage and refuse properly.
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Survey: 2025-09-22 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2025-09-22 | Tag F0881 | Infection Control Deficiencies | Severity: D
Implement a program that monitors antibiotic use.
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Survey: 2025-09-22 | 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: 2025-09-22 | Tag F0627 | Resident Rights Deficiencies | Severity: J
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Survey: 2025-09-22 | Tag F0628 | Resident Rights Deficiencies | Severity: C
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Survey: 2024-08-05 | Tag F0580 | Resident Rights Deficiencies | Severity: D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Survey: 2024-05-30 | 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: 2024-05-30 | 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: 2024-05-30 | Tag F0880 | Infection Control Deficiencies | Severity: D
Provide and implement an infection prevention and control program.
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Survey: 2023-06-27 | Tag F0565 | Resident Rights Deficiencies | Severity: D
Honor the resident's right to organize and participate in resident/family groups in the facility.
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Survey: 2023-06-27 | 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: 2023-06-27 | Tag F0730 | Nursing and Physician Services Deficiencies | Severity: C
Observe each nurse aide's job performance and give regular training.
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Survey: 2023-06-27 | Tag F0760 | Pharmacy Service Deficiencies | Severity: J
Ensure that residents are free from significant medication errors.
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Survey: 2023-06-27 | Tag F0791 | Quality of Life and Care Deficiencies | Severity: J
Provide or obtain dental services for each resident.
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Survey: 2023-06-27 | 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.
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Survey: 2023-06-27 | Tag F0804 | Nutrition and Dietary Deficiencies | Severity: D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Survey: 2023-06-27 | Tag F0805 | Nutrition and Dietary Deficiencies | Severity: D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
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Survey: 2023-06-27 | Tag F0921 | Environmental Deficiencies | Severity: D
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: 2023-06-27 | Tag F0558 | Resident Rights Deficiencies | Severity: D
Reasonably accommodate the needs and preferences of each resident.
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Survey: 2024-02-01 | 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: 2024-02-01 | 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: 2024-02-01 | Tag F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Severity: D
Respond appropriately to all alleged violations.
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Survey: 2024-02-01 | Tag F0806 | Nutrition and Dietary Deficiencies | Severity: D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Survey: 2024-02-01 | Tag F0809 | Nutrition and Dietary Deficiencies | Severity: F
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: 2024-02-01 | 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: 2024-02-01 | Tag F0921 | Environmental Deficiencies | Severity: F
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: 2020-02-27 | 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: 2020-02-27 | 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: 2020-02-27 | Tag F0580 | Resident Rights Deficiencies | Severity: D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Survey: 2020-02-27 | 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: 2020-02-27 | 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: 2020-02-27 | 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: 2020-02-27 | 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: 2020-02-27 | Tag F0693 | Quality of Life and Care Deficiencies | Severity: D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
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Survey: 2020-02-27 | 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: 2020-02-27 | 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: 2020-02-27 | 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: 2020-02-27 | 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: 2020-02-27 | 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.