Matador Health And Rehabilitation Center

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to review the risks and benefits of bed rails with the resident or resident's representative and obtain informed consent prior to installation of bed rails for 4 (Residents #5, #13, #24, and #25) of 14 residents reviewed for bedrails. The facility failed to inform Residents #5, #13, #24, and #25 or their representatives of the use of bed rails and obtain consent for the use of bed rails. This failure could place all residents with bed rails at risk for injuries such as abrasion, fractures, and entrapment. Finding include: Resident #5 Record review of Resident #5's clinical record revealed an [AGE] year-old female admitted to the facility originally on 6-8-2022 and readmitted on [DATE] with diagnoses to include atrial fibrillation (an irregular, often rapid heart rate that commonly causes poor blood flow), polyosteoarthritis (a type of arthritis that occurs when flexible tissue at the ends of bones wears down), chronic respiratory failure (a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to use the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week for 18 days out of 31 (05/28/23, 06/03/23, 06/04/23, 06/10/23, 06/11/23, 06/17/23, 06/18/23,06/24/23) 07/6/24, 07/13/24, 07/20/24, 07/21/24, 08/03/24, 8/10/24 and 8/11/24 ) days reviewed for RN coverage. The facility failed to ensure they had RN coverage 8 hours a day, 7 days a week for the following days: 05/4/24, 05/5/24, 05/11/24, 05/18/24, 05/19/24, 05/25/24, 05/26/24, 06/23/24, 06/29/24, 06/30/24, 07/04/24, 07/6/24, 07/13/24, 07/20/24, 07/21/24, 08/03/24, 8/10/24 and 8/11/24. This failure could place residents at risk for inconsistency in care and services. Findings include: Record review of the facility's employee roster undated revealed there were five RN's employed at the facility. Record Review of time sheet provided by the Administrator for the time period 05/01/24-08/11/24 revealed the following dates did not have RN coverage for at least 8 hours a day for the following days: 05/4/24, 05/5/24, 05/11/24,…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to conduct a comprehensive and accurate assessment of each resident using the resident assessment instrument (RAI) specified by CMS for 1 of 14 residents (Resident #31) whose records were reviewed for assessments. Resident #31 was on CPAP therapy while in the facility and it was not addressed in his MDS. This failure to ensure comprehensive and accurate assessments could affect residents by placing them at risk for not receiving correct care and services. Finding include: Record review of Resident #31's face sheet dated 8-12-2024 revealed a [AGE] year-old male admitted to the facility on [DATE] with diagnoses to include dementia (a group of thinking and social symptoms that interferes with daily functioning), atrial fibrillation(an irregular, often rapid heart rate that commonly causes poor blood flow), chronic obstructive pulmonary disease (a group of lung diseases that block airflow and make it difficult to breath), obstructive sleep apnea…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview the facility failed to perform preadmission screening for individuals with a mental disorder and individuals with intellectual disability prior to admission for 2 (Resident #18 and #20) of 16 residents reviewed for preadmission screenings. A. The facility failed to perform a PASRR for Resident #18 until 4 months after admission. B. The facility failed to perform a PASRR for Resident #20 until 2 months after admission. This failure could place residents at risk of receiving inadequate care. Findings Included: Record review of Resident #18's admission record dated 08/13/24 revealed Resident #18 was an 81year-old female admitted to the facility on [DATE] with diagnoses that included, but were not limited to dementia ( a group of thinking and social symptoms that interferes with daily functioning), anxiety ( a feeling of worry, nervousness or unease), depression (a mood disorder that affects how a person thinks feels and acts) and anemia( a condition in which the blood does not…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to implement a comprehensive care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs for 1 (Resident #31) of 14 Residents reviewed for comprehensive care plans. -The facility failed to include a care plan for Resident #31's smoking. This failure could affect residents in the facility receiving care per comprehensive person-centered care plans resulting in resident not being able to attain or maintain their highest practicable physical, mental, and psychosocial well-being. Finding include: Record review of Resident #31's face sheet dated 8-12-2024 revealed a [AGE] year-old male admitted to the facility on [DATE] with diagnoses to include dementia (a group of thinking and social symptoms that interferes with daily functioning), atrial fibrillation(an irregular, often rapid heart rate that commonly causes poor blood flow), chronic obstructive pulmonary disease (a…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review; the facility failed to ensure drugs and biologicals were stored and labeled in accordance with currently accepted professional principles when applicable on 1 (Hall 100 and half of Hall 300) of 2 medication carts reviewed. Two Loose pills found in the medication drawers of the medication cart for Hall 100 and half of Hall 300. This failure could result in residents not receiving an accurate dose of medication as well as not being maintained at their best therapeutic level. Findings include: Observation and interview on 08/12/24 at 11:07 AM revealed 2 loose pills in the bottom of medication drawer in medication cart for Hall 100 and half of Hall 300. LVN B was able to identify the pills, the red pill was identified as Plavix. The yellow pill was identified as Bethanechol Chloride unsure who the medications belonged to. Interview on 08/12/24 at 11:16 AM with LVN B revealed that a negative outcome for having lose medications in the medication carts would be that the medication could be mistaken for something else. Interview on…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infection in 1 of 1 dining rooms. -CNA C failed to perform hand hygiene before assisting Resident #32 with eating. This failure had the potential to affects residents in the facility by exposing them to care that could lead to the spread of viral infections, secondary infections, communicable diseases, and feelings of isolation related to poor hygiene. Findings include: Observation on 08/12/24 at 12:18 PM revealed CNA C playing with hair while waiting on Residents food to be delivered to table in the dining room. Observation on 08/12/24 at 12:24pm revealed CNA C playing with hair again and no hand hygiene was performed before touching Resident #32's napkin or silverware to assist Resident #32 with eating her lunch meal. Interview on 08/12/24 at 02:40 PM CNA C revealed that a negative outcome from playing with…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to use the services of a Registered Nurse (RN) for at least eight consecutive hours a day, seven days a week for 8 out of 30 (05/28/23, 06/03/23, 06/04/23, 06/10/23, 06/11/23, 06/17/23, 06/18/23, and 06/24/23) days reviewed for RN coverage. The facility failed to ensure they had RN coverage 8 hours a day, 7 days a week for the following days: 05/28/23, 06/03/23, 06/04/23, 06/10/23, 06/11/23, 06/17/23, 06/18/23, and 06/24/23 This failure could place residents at risk for inconsistency in care and services. Findings include: Record review of the facility's employee roster undated revealed there were three RN's employed at the facility. Record Review of time sheet provided by the Administrator for the time period 05/28/23-06/25/23 revealed the following dates did not have RN coverage for at least 8 hours a day for the following days: 05/28/23, 06/03/23, 06/04/23, 06/10/23, 06/11/23, 06/17/23, 06/18/23, and 06/24/23. During an interview on 06/27/23 at 12:30 PM with the Administrator, she stated the DON and Administrator were…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on interview and record review, the facility failed to employ sufficient staff with appropriate competencies and skill sets to carry out the functions of the food and nutrition service for thefacility's only kitchen reviewed for dietary services. The facility failed to ensure the designated Dietary Manager completed the required dietary managers certification course or had any other qualifying credentials. This failure could place residents at risk for the spread of foodborne illness and residents not having their nutritional needs met. The findings include: Record review of the personnel file for the Dietary Manager revealed a document titled Change In Status. The document stated, Date of change, 5/29/23 and stated that the Dietary Manager's position in housekeeping had now been changed to the Dietary Supervisor. The document was signed 5/30/23 by the Dietary Manager. Further record review of the personnel file for the Dietary Manager revealed a listing of education. There was nothing listed in the area titled Vocational or trade training. The Former Employers listed revealed…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services, in that: 1) The facility failed to ensure Dietary staff used pasteurized eggs in under cooked egg dishes (soft cooked/sunny side up/over easy eggs), 2) The facility failed to ensure Dietary staff stored foods in a manner to prevent contamination, 3) The facility failed to ensure Dietary staff maintained adequate chlorine sanitizer levels in the low temperature dish machine. 4) The facility failed to ensure Dietary staff ensured food contact surfaces were clean, 5) The facility failed to ensure Dietary staff performed sanitary handwashing between the handling of soiled and clean food equipment during dishwashing, 6) The facility failed to ensure Dietary staff used good hygienic practices (personal foods in food storage and prep areas), 7) The facility failed to ensure Dietary staff stored personal items in a manner to prevent contamination of food contact…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to be adequately equipped to allow residents to call for staff assistance through a communication system which relayed the call directly to a staff member or to a centralized staff work area from each resident's bedside for 4 of 14 resident rooms (102, 205, 207, and 301); in that: 1. The facility failed to ensure that the resident call system at bedside could not be cancelled from the nurse's station (Rooms 102, 205, 207, and 301). 2. The facility further failed to ensure that the call system accurately indicated the location of the registered call (rooms [ROOM NUMBERS]). These failures could place residents at risk of not receiving needed services. The findings include: On 6/26/23 at 9:10 AM, an observation was made in room [ROOM NUMBER]. The call system at the B bed was activated (dome light illuminated and audible sound emitted) and a voice came over the call system intercom and stated that someone would come to the room shortly. After…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on record review and interview, the facility failed to ensure residents had the right to send and receive mail promptly on Saturdays, in that: Resident mail was delivered and available at the facility's US Post Office mailbox on Saturday's but was not delivered to residents until Monday. This failure could place residents at risk for a decline in their psychosocial well-being and not receiving important mail in a timely manner. The findings include: During a confidential Resident Council meeting interviews, 8 of 8 residents stated they had not seen any mail deliveries on Saturday's. One resident stated the staff go to the post office and pick up mail. On 6/26/23 at 3:58 PM an interview was conducted with the Administrator regarding mail delivery in the facility. She stated the DON picked up the mail every weekday from the US post office and passes it out. The post office building is open on Saturday, but the window service was not. The mailboxes were accessible, and the facility had a mailbox there. She added that if items were delivered to the physical address, the staff get…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to ensure all Pre-admission Screening and Resident Review (PASRR) Level I residents with mental illness were provided with a PASRR Evaluation assessment for 4 of 13 residents (Residents #4, #6, #7, #13) reviewed for PASRR screening, in that: Resident #4 did not have an accurate PASRR Level 1 assessment when she had a diagnosis of unspecified psychosis. Resident #6 did not have an accurate PASRR Level 1 assessment when she had a diagnosis of major depressive disorder. Resident #7 did not have an accurate PASRR Level 1 assessment when she had a diagnosis of major depressive disorder. Resident #13 did not have an accurate PASRR Level 1 assessment when she had a diagnosis of major depressive disorder. These failures could place residents with an inaccurate PASRR Level 1 evaluation at risk for not receiving care and services to meet their needs. The findings were: Resident #4 Record review of the Order Summary Report dated 6/25/23 for Resident #4 revealed she…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observation, interview, and record review, the facility failed to ensure that the menu was followed and reviewed by the facility's dietitian or other clinically qualified nutrition professional for nutritional adequacy for residents, for (Residents #5, 12, 17 and 26), in that: 1. The facility failed to ensure residents received consistent serving sizes as called for on the menu and approved by the Dietician during 2 meal observations. 2. The facility failed to ensure diet guidance for all diets ordered was represented on the diet spreadsheet and had Dietician approval. These failures could place residents at risk for unwanted weight loss, hunger, unwanted weight gain, and metabolic imbalances. The findings include: During the confidential Resident Council Meeting interviews, three of eight residents voiced concerns related to the menus. Residents stated that the menus that were posted were not always what they were served. During individual confidential interviews, one of seven residents voice concerns with the menu. The resident stated that sometimes the dietary staff…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure all residents had the right to formulate an advance directive for 3 of 13 residents (Residents #3, #7, and #18) reviewed for advanced directives, in that: Residents #3, #7 and #18 were listed as a DNR but had a OOH-DNR forms that were incorrectly filled out or missing required information. These failures could place residents at risk for not having their end of life wishes honored and incomplete records. Findings included: Resident #3 Record review of Resident #3's face sheet, dated [DATE], revealed an [AGE] year-old-male was admitted to the facility on [DATE] with diagnoses to include diabetes (high blood sugar), hypertension (high blood pressure), and cerebral palsy (affects a person's ability to move, maintain balance and posture). The face sheet also revealed under the advance directive section - ADC: Do not resuscitate - DNR. Record review of Resident #3's physician's order summary dated [DATE] revealed the following order: ADC: Do Not…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to develop a comprehensive care plan to meet the highest practicable physical, mental, psychosocial well-being for 1 of 13 residents (Residents #19) reviewed for care plans as follows: Resident #19 did not have a care plan for ADL Functional/Rehabilitation Potential. These failures could place residents at risk of not receiving the care required to meet their Individualized needs. Findings include: Record review of Resident #19's face sheet, dated 06/25/23, revealed an [AGE] year-old-female was admitted to the facility on [DATE] with diagnoseis to include atrial fibrillation (irregular heart beat), hypertension (high blood pressure), atherosclerotic heart disease (narrowing of the arteries), muscle weakness, difficulty walking, and repeated falls. Record review of Resident #19's Comprehensive Minimum Data Set, dated [DATE], revealed: Section C Brief Interview for Mental Status score revealed a score of 14, which indicated the Resident #19's cognition was…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review, the facility failed to ensure a resident who was incontinent of bladder, received appropriate treatment and services to prevent urinary tract infections for 1 of 1 resident with a urinary catheter (Resident #27); in that: The facility failed to ensure catheter related physician's orders were followed and failed to position the catheter drainage bag and tubing in a manner that promoted gravity flow and prevented infections. These failures could place residents at risk for urinary tract infections. The findings include: Record review of the Order Summary Report dated 6/25/23 for female Resident #27 revealed that the resident was admitted to the facility on [DATE] and was [AGE] years old. The resident had diagnoses of obstructive and reflux uropathy (obstruction of urine flow disorder), chronic pulmonary embolism (lung clotting disorder), Alzheimer's disease, unspecified (mental disorder), and aphasia following cerebral infarction (communication disorder following…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to offer, based on a resident's comprehensive assessment, a therapeutic diet when there was a nutritional problem, and the health care provider ordered a therapeutic diet for 1 of 1 resident (Residents #5) on a therapeutic diet, in that: The facility failed to provide Residents #5 with her physician ordered 2g sodium therapeutic diet for 3 of 3 meals (6/25/23 Supper and 6/26/23 - Lunch and Supper). The Dietary staff were not aware of the diet and were serving the resident foods that were high in sodium. This failure could place residents at risk for hunger, weight loss, and chemical imbalances. The findings include: Record review of the Order Summary Report dated 6/25/23, for female Resident #5 revealed the resident was admitted to the facility on [DATE] and was [AGE] years old. The resident had diagnoses of, essential, primary hypertension (high blood pressure), edema (fluid retention), unspecified, unspecified systolic (congestive), heart…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to ensure, based on a comprehensive assessment, that PRN orders for psychotropic drugs were limited to 14 days and could not be renewed, unless the attending physician or prescribing practitioner evaluated the resident for the appropriateness of the medication for blank of blank residents on psychoactive medication's (Resident #1), in that: The facility failed to ensure that Resident #1 had orders for psychotropic medications (lorazepam (brand name Ativan)) that did not contain PRN orders beyond 14 days without a start date and reassessment. This failure could place residents at risk for receiving unnecessary medications and adverse drug reactions. The findings include: Resident #1 Record review of the Order Summary Report for female Resident #1 dated 6/25/23 revealed that the resident was admitted to the facility on [DATE] and was [AGE] years old. The resident had diagnoses of heart failure (heart disorder), generalized anxiety disorder (mental…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure each resident received, and the facility provided food prepared in a form designed to meet individual needs for 2 of 2 meals observe for 2 of 2 residents with orders for puréed diet (Residents #1 and 24); in that: The facility failed to provide food that was in a form to meet resident needs, 2 of 2 meals observed (6/26/23 - Lunch and Supper) for 2 of 2 residents with the orders for puréed diets (Residents #1 and 24). This failure could place residence at risk of decreased food intake and choking. The findings include: Resident #1 Record review of the Order Summary Report for female Resident #1 dated 6/25/23 revealed that the resident was admitted to the facility on [DATE] and was [AGE] years old. The resident had diagnoses of heart failure, unspecified, dysphasia, oropharyngeal phase, unspecified (swallowing disorder), macular degeneration (vision deficit), and moderate protein-calorie malnutrition (Protein deficient nutrition…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.