| 2026-06-15 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-06-15 | F0658, F0677, F0684, F0726, F0732 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Post nurse staffing information every day. | D |
| 2025-06-06 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2025-06-06 | F0628, F0657, F0690, F0760 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that residents are free from significant medication errors. | D |
| 2024-07-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-07-02 | F0880, F0883 | Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2024-07-02 | F0550, F0553, F0558, F0623, F0638, F0641, F0645, F0656, F0657, F0658, F0677, F0685, F0730, F0755, F0842, F0882, F0947, F0609, F0684, F0728 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Reasonably accommodate the needs and preferences of each resident. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / Observe each nurse aide's job performance and give regular training. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D |
| 2024-07-02 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | C |
| 2024-01-08 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | J |
| 2024-01-08 | F0625 | 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. | E |
| 2024-01-08 | F0622, F0623, F0637, F0644, F0695, F0697, F0745, F0919 | 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Assess the resident when there is a significant change in condition / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2023-01-26 | F0812, F0880, F0881, F0886 | 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. / Implement a program that monitors antibiotic use. / Perform COVID19 testing on residents and staff. | F |
| 2023-01-26 | F0882, F0885 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Report COVID19 data to residents and families. | E |
| 2023-01-26 | F0550, F0578, F0580, F0646, F0655, F0657, F0677, F0684, F0756, F0757, F0761, F0868, F0943 | 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D |
| 2023-01-26 | F0732 | Post nurse staffing information every day. | C |