| 2026-06-01 | F0550, F0656 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2026-04-07 | F0584 | 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. | D |
| 2026-02-17 | F0880 | Provide and implement an infection prevention and control program. | J |
| 2026-02-17 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2026-02-17 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| 2026-02-17 | F0550, F0584, F0605, F0657, F0841 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | E |
| 2026-02-17 | F0552, F0684, F0689, F0691, F0813, F0909 | Ensure that residents are fully informed and understand their health status, care and treatments. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D |
| 2026-01-22 | 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 |
| 2026-01-07 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D |
| 2025-03-07 | F0577, F0585 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / 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. | F |
| 2025-03-07 | F0641, F0645, F0688, F0689, F0761, F0842 | Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-02-05 | F0677, F0761 | Provide care and assistance to perform activities of daily living for any resident who is unable. / 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. | E |
| 2025-02-05 | F0585 | 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 |
| 2024-07-17 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E |
| 2024-07-02 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2023-11-20 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-09-14 | F0692 | Provide enough food/fluids to maintain a resident's health. | H |
| 2023-09-14 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2023-08-03 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D |
| 2022-11-18 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2022-11-18 | F0641, F0656, F0677, F0679, F0698, F0725, F0727, F0812, F0868, F0887 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / 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. | E |
| 2022-11-18 | F0636, F0689, F0761 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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 |
| 2022-11-18 | F0888 | Ensure staff are vaccinated for COVID-19 | C |