| 2026-02-04 | F0880, F0881 | Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | F |
| 2026-02-04 | F0554, F0605, F0644, F0645, F0657, F0689, F0756, F0759, F0760 | Allow residents to self-administer drugs if determined clinically appropriate. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. | D |
| 2025-10-29 | F0600, F0684 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2025-10-29 | F0585, F0609, F0610, F0690, F0697, F0777 | 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate pain management for a resident who requires such services. / Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D |
| 2025-05-28 | F0880, F0925 | Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2025-05-28 | F0585, F0684, F0690 | 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2024-10-01 | F0583, F0656, F0695, F0880 | Keep residents' personal and medical records private and confidential. / 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. / Provide and implement an infection prevention and control program. | D |
| 2024-01-12 | F0600, F0610, F0726, F0835, F0867 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / 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. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | L |
| 2024-01-12 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-01-12 | F0584, F0688 | 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. / 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. | E |
| 2024-01-12 | F0684, F0698 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| 2022-01-27 | F0698, F0761, F0886 | Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Perform COVID19 testing on residents and staff. | E |
| 2022-01-27 | F0604, F0623, F0625, F0695, F0756, F0758, F0759, F0919 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / 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 medication error rates are not 5 percent or greater. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |