| 2026-06-03 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| 2026-06-01 | F0656, F0658, F0865 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Have a plan that describes the process for conducting QAPI and QAA activities. | E |
| 2026-06-01 | F0552, F0578, F0604, F0690, F0759 | Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / 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 medication error rates are not 5 percent or greater. | D |
| 2025-11-19 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2025-11-05 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2025-08-20 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| 2025-07-03 | F0685 | Assist a resident in gaining access to vision and hearing services. | G |
| 2025-07-03 | F0837 | 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. | D |
| 2025-04-10 | F0680, F0812, F0880 | Ensure the activities program is directed by a qualified professional. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2025-04-10 | F0552, F0644, F0658, F0868 | Ensure that residents are fully informed and understand their health status, care and treatments. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure services provided by the nursing facility meet professional standards of quality. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D |
| 2025-01-29 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2025-01-29 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D |
| 2025-01-21 | 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. | F |
| 2025-01-21 | F0689, F0813 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E |
| 2025-01-21 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-01-08 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| 2024-10-09 | F0687 | Provide appropriate foot care. | G |
| 2024-10-09 | F0580, F0585 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. | D |
| 2024-07-09 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-05-22 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2024-05-22 | F0607, F0609 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-04-11 | F0725, F0726, F0867, F0880 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program. | F |
| 2024-04-11 | F0638, F0658, F0686, F0688, F0812, F0813, F0881 | Assure that each resident’s assessment is updated at least once every 3 months. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Implement a program that monitors antibiotic use. | E |
| 2024-04-11 | F0695, F0757, F0758, F0761 | Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / 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 |
| 2024-03-26 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-03-06 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-02-01 | F0657, F0684, F0686 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E |
| 2024-01-19 | F0558, F0725 | Reasonably accommodate the needs and preferences of each resident. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2024-01-19 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-09-29 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |