Coral Cove Post Acute Complaints, Violations and Inspection Records

June 23, 2026, complaint inspection

2 deficiencies cited. Surveyors cited the facility for reasonably accommodate the needs and preferences of each resident and provide and implement an infection prevention and control program.

• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity E)
• F0880Provide and implement an infection prevention and control program. (scope and severity E)

February 9, 2026, complaint inspection

1 deficiency cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

November 21, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards and provide and implement an infection prevention and control program.

• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0880Provide and implement an infection prevention and control program. (scope and severity D)

November 17, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities and respond appropriately to all alleged violations.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0610Respond appropriately to all alleged violations. (scope and severity D)

November 5, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

• F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (scope and severity D)

August 15, 2025, standard inspection

21 deficiencies cited. Surveyors cited the facility for provide appropriate pressure ulcer care and prevent new ulcers from developing, provide and implement an infection prevention and control program, and develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity G)
• F0880Provide and implement an infection prevention and control program. (scope and severity F)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity E)
• F0688Provide 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. (scope and severity E)
• F0692Provide enough food/fluids to maintain a resident's health. (scope and severity E)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity E)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity E)
• F0887Educate 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. (scope and severity E)
• F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)
• F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (scope and severity D)
• F0641Ensure each resident receives an accurate assessment. (scope and severity D)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
• F0687Provide appropriate foot care. (scope and severity D)
• F0693Ensure 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. (scope and severity D)
• F0698Provide safe, appropriate dialysis care/services for a resident who requires such services. (scope and severity D)
• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity D)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity D)
• F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (scope and severity D)
• F0883Develop and implement policies and procedures for flu and pneumonia vaccinations. (scope and severity D)

July 11, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge and develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

• F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. (scope and severity D)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)

May 9, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being and verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

• F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (scope and severity E)
• F0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. (scope and severity E)

April 2, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

• F0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. (scope and severity E)

March 18, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals and keep all essential equipment working safely.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
• F0908Keep all essential equipment working safely. (scope and severity D)

February 27, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

February 12, 2025, complaint inspection

4 deficiencies cited. Surveyors cited the facility for honor the resident's right to organize and participate in resident/family groups in the facility, immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident, and timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

• F0565Honor the resident's right to organize and participate in resident/family groups in the facility. (scope and severity E)
• F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)

January 29, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for post nurse staffing information every day and honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

• F0732Post nurse staffing information every day. (scope and severity F)
• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)

January 17, 2025, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide and implement an infection prevention and control program and designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

• F0880Provide and implement an infection prevention and control program. (scope and severity F)
• F0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. (scope and severity F)

January 16, 2025, complaint inspection

3 deficiencies cited. Surveyors cited the facility for immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident, timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities, and provide appropriate treatment and care according to orders, resident’s preferences and goals.

• F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity G)
• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)

January 13, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

• F0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (scope and severity D)

January 6, 2025, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide and implement an infection prevention and control program.

• F0880Provide and implement an infection prevention and control program. (scope and severity E)

December 3, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity D)

November 1, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities and respond appropriately to all alleged violations.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0610Respond appropriately to all alleged violations. (scope and severity D)

October 29, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured and ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity G)
• F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (scope and severity D)

October 22, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist and 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.

• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity D)
• F0758Implement 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. (scope and severity D)

October 18, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

• F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. (scope and severity D)

October 4, 2024, complaint inspection

3 deficiencies cited. Surveyors cited the facility for protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody, ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents, and permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

• F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (scope and severity E)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity E)

• F0626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. (scope and severity D)

September 25, 2024, complaint inspection

3 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals, provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist, and 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.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity E)
• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)
• F0758Implement 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. (scope and severity D)

September 7, 2024, complaint inspection

3 deficiencies cited. Surveyors cited the facility for provide appropriate treatment and care according to orders, resident’s preferences and goals, develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured, and provide medically-related social services to help each resident achieve the highest possible quality of life.

• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity J)
• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
• F0745Provide medically-related social services to help each resident achieve the highest possible quality of life. (scope and severity D)

August 23, 2024, standard and complaint inspections

12 deficiencies cited. Surveyors cited the facility for ensure that residents are fully informed and understand their health status, care and treatments, reasonably accommodate the needs and preferences of each resident, and honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

• F0552Ensure that residents are fully informed and understand their health status, care and treatments. (scope and severity D)
• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
• F0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (scope and severity D)
• F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (scope and severity D)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
• F0658Ensure services provided by the nursing facility meet professional standards of quality. (scope and severity D)
• F0692Provide enough food/fluids to maintain a resident's health. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0761Ensure 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. (scope and severity D)
• F0790Provide routine and 24-hour emergency dental care for each resident. (scope and severity D)
• F0814Dispose of garbage and refuse properly. (scope and severity D)
• F0880Provide and implement an infection prevention and control program. (scope and severity D)

July 12, 2024, complaint inspection

3 deficiencies cited. Surveyors cited the facility for provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist, have a plan that describes the process for conducting qapi and qaa activities, and ensure that residents are free from significant medication errors.

• F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (scope and severity E)

• F0865Have a plan that describes the process for conducting QAPI and QAA activities. (scope and severity E)
• F0760Ensure that residents are free from significant medication errors. (scope and severity D)

April 25, 2024, complaint inspection

3 deficiencies cited. Surveyors cited the facility for timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities, respond appropriately to all alleged violations, and ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

• F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (scope and severity D)
• F0610Respond appropriately to all alleged violations. (scope and severity D)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

April 22, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for allow resident to participate in the development and implementation of his or her person-centered plan of care and provide safe and appropriate respiratory care for a resident when needed.

• F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)

March 26, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

• F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity G)

March 19, 2024, complaint inspection

2 deficiencies cited. Surveyors cited the facility for develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured and develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

• F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (scope and severity D)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)

February 14, 2024, complaint inspection

6 deficiencies cited. Surveyors cited the facility for 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, safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards, and provide and implement an infection prevention and control program.

• F0584Honor 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. (scope and severity E)
• F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (scope and severity E)
• F0880Provide and implement an infection prevention and control program. (scope and severity E)
• F0558Reasonably accommodate the needs and preferences of each resident. (scope and severity D)
• F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (scope and severity D)
• F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (scope and severity D)

January 29, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for give the resident's representative the ability to exercise the resident's rights.

• F0551Give the resident's representative the ability to exercise the resident's rights. (scope and severity D)

January 4, 2024, complaint inspection

1 deficiency cited. Surveyors cited the facility for give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

• F0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (scope and severity E)

December 12, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

• F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (scope and severity D)

October 12, 2023, complaint inspection

1 deficiency cited. Surveyors cited the facility for provide and implement an infection prevention and control program.

• F0880Provide and implement an infection prevention and control program. (scope and severity E)

July 13, 2021, standard inspection

21 deficiencies cited. Surveyors cited the facility for make sure that a working call system is available in each resident's bathroom and bathing area, provide and implement an infection prevention and control program, and procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

• F0919Make sure that a working call system is available in each resident's bathroom and bathing area. (scope and severity K)
• F0880Provide and implement an infection prevention and control program. (scope and severity J)
• F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (scope and severity F)
• F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (scope and severity E)
• F0638Assure that each resident’s assessment is updated at least once every 3 months. (scope and severity E)
• F0759Ensure medication error rates are not 5 percent or greater. (scope and severity E)
• F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (scope and severity E)
• F0803Ensure 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. (scope and severity E)
• F0865Have a plan that describes the process for conducting QAPI and QAA activities. (scope and severity E)
• F0883Develop and implement policies and procedures for flu and pneumonia vaccinations. (scope and severity E)
• F0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (scope and severity D)
• F0625Notify 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. (scope and severity D)
• F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (scope and severity D)
• F0661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (scope and severity D)
• F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals. (scope and severity D)
• F0685Assist a resident in gaining access to vision and hearing services. (scope and severity D)
• F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing. (scope and severity D)
• F0695Provide safe and appropriate respiratory care for a resident when needed. (scope and severity D)
• F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (scope and severity D)
• F0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (scope and severity D)

• F0814Dispose of garbage and refuse properly. (scope and severity D)