Based on medical record review and interview, it was determined the facility failed to ensure laboratory test results of a basic metabolic panel (BMP) was available for clinical management for 1 of 35 (Resident #62) sampled residents. The failure of the facility to ensure abnormal and critical laboratory test results were available and in the medical record resulted in immediate jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident), A meeting was conducted in the conference room on 6/11/14 at 7:34 PM, with the Administrator, Director of Nursing (DON), and Assistant Director of Nursing (ADON) at which time they were informed of the immediate… …
F507
Administration Deficiencies
Keep complete, dated laboratory records in the resident's file.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
The harm level
How severely F507 is cited
0.0% of citations found actual harm or worse (level G and above).
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1100.0% | E— | F— |
| No harm, potential for minimal | A— | B— | C— |
In the surveyor’s words
What an F507 citation says
One finding from each severity level, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on resident observation, resident and staff interviews, clinical record review and policy review, the facility failed to file the laboratory reports for 2 residents (#159 and #2) of the 3 sampled residents with indwelling urinary catheters. This failure resulted in actual harm for Residents #159 and #2 related to ongoing pain and suffering caused by continuing urinary tract infections. The findings include: 1. An observation on 04/29/11 at 8:15 AM revealed Resident #159 lying on their back in bed. The indwelling urinary catheter drainage bag was covered with a privacy bag, but the urine observed in the catheter tubing was dark yellow. …
Based on interview and record review, the facility failed to ensure hemacult test (test to check for the presence of hidden blood in the stool) result was filed in the resident's clinical record for one of four sampled residents (Resident 1). This deficient practice had the potential for resident not being treated accurately due to insufficient information. Findings: A review of admission record, indicated Resident 1 was admitted to the facility on [DATE] with [DIAGNOSES REDACTED]. A review of Resident 1's Minimum Data Set (MDS a standardized resident assessment and care screening tool), dated 12/10/14, indicated Resident 1's cognition (a mental process of acquiring knowledge and understanding) was severely impaired (damaged). …
Based on interview and record review, the facility failed to ensure laboratory test results were filed in the clinical record for one of 20 sampled residents (8). This had the potential to result in a delay of appropriate action if indicated, to meet the needs of the resident. Findings: A review of the Record of Admission of Resident 8 indicated the resident was originally admitted to the facility on [DATE], and was readmitted on [DATE], with [DIAGNOSES REDACTED]. The Minimum Data Set (MDS), a standardized assessment and care screening tool, dated July 21, 2014, indicated the resident had short and long-term memory problems, was severely impaired in his cognitive skills for daily decision making, rarely/never understood others and rarely/never made self understood, and required total… …
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