| 2025-06-05 | F0835, F0837, F0841 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. / Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | L |
| 2025-06-05 | F0760 | Ensure that residents are free from significant medication errors. | K |
| 2025-06-05 | F0580, F0600, F0609, F0610, F0645, F0658, F0694, F0725, F0740, F0757, F0867 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure services provided by the nursing facility meet professional standards of quality. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | J |
| 2025-03-19 | F0600, F0609, F0689, F0740 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J |
| 2025-03-19 | F0803, F0812, F0908 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Keep all essential equipment working safely. | F |
| 2025-03-19 | F0602, F0658 | Protect each resident from the wrongful use of the resident's belongings or money. / Ensure services provided by the nursing facility meet professional standards of quality. | E |
| 2025-03-19 | F0580, F0583, F0584, F0585, F0641, F0645, F0695, F0880 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Keep residents' personal and medical records private and confidential. / 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. / 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. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | D |
| 2025-03-19 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C |
| 2019-12-05 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2019-12-05 | F0637, F0658, F0688, F0880 | Assess the resident when there is a significant change in condition / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / Provide and implement an infection prevention and control program. | D |
| 2018-10-18 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2018-10-18 | F0658, F0690, F0761, F0880 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide and implement an infection prevention and control program. | D |