| 2024-09-05 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E |
| 2024-09-05 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2024-02-01 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2024-02-01 | F0584, F0759, F0761, F0812, F0848, F0880, F0883, F0887 | 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. / Ensure medication error rates are not 5 percent or greater. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide a neutral and fair arbitration process and agree to arbitrator and venue. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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 |
| 2024-02-01 | F0550, F0604, F0644, F0656, F0684, F0689, F0699, F0755 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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 care or services that was trauma informed and/or culturally competent. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-10-31 | F0600, F0726 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / 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. | J |
| 2021-12-10 | F0584, F0689 | 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2021-12-10 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2020-09-18 | F0645, F0656, F0695, F0740, F0756, F0758, F0761, F0908, F0921 | 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. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Keep all essential equipment working safely. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |