| 2025-09-04 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2025-08-08 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2025-06-02 | F0725, F0755, F0760, F0761, F0867 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D |
| 2025-01-29 | F0607, F0687 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide appropriate foot care. | D |
| 2024-08-10 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-08-10 | F0700, F0755, F0814 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Dispose of garbage and refuse properly. | E |
| 2024-08-10 | F0550, F0554, F0583, F0584, F0609, F0623, F0625, F0640, F0657, F0660, F0685, F0692, F0698, F0745, F0761, F0840 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify 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. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Plan the resident's discharge to meet the resident's goals and needs. / Assist a resident in gaining access to vision and hearing services. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / 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. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D |
| 2024-05-08 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D |
| 2024-04-25 | F0761 | 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. | D |
| 2024-04-23 | F0687 | Provide appropriate foot care. | G |
| 2024-04-23 | F0887 | Educate 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. | D |
| 2023-10-12 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-09-05 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2019-07-19 | F0656, F0688, F0812, F0850 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Hire a qualified full-time social worker in a facility with more than 120 beds. | E |
| 2019-07-19 | F0583, F0607, F0636, F0637, F0640, F0685, F0689, F0690, F0693, F0740, F0755, F0759, F0842, F0880 | Keep residents' personal and medical records private and confidential. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assess the resident when there is a significant change in condition / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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 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. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2018-08-31 | F0908 | Keep all essential equipment working safely. | E |
| 2018-08-31 | F0550, F0580, F0655, F0660, F0684, F0743, F0760 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Plan the resident's discharge to meet the resident's goals and needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable. / Ensure that residents are free from significant medication errors. | D |