| 2025-12-11 | 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. | F |
| 2025-12-11 | F0558, F0609, F0610, F0689, F0760 | Reasonably accommodate the needs and preferences of each resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that residents are free from significant medication errors. | D |
| 2025-06-09 | F0656, F0698, F0835 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J |
| 2025-06-09 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-06-09 | F0644, F0867, F0880, F0881, F0883, F0887, F0921 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / 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. / Implement a program that monitors antibiotic use. / 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F |
| 2025-06-09 | F0755, F0804, F0812, F0814 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. | E |
| 2025-06-09 | F0550, F0554, F0561, F0578, F0580, F0609, F0610, F0641, F0657, F0692, F0697, F0759 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. | D |
| 2025-06-09 | F0568 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | C |
| 2025-03-04 | F0579, F0940 | Provide information about how to apply for and use Medicare and Medicaid benefits. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F |
| 2025-03-04 | F0600, F0607, F0684, F0729 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | D |
| 2025-03-04 | F0732 | Post nurse staffing information every day. | B |
| 2024-08-01 | F0585, F0725, F0908, F0924, F0925 | 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 enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Keep all essential equipment working safely. / Put firmly secured handrails on each side of hallways. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2024-08-01 | F0567, F0584, F0692, F0837, F0867, F0880 | Honor the resident's right to manage his or her financial affairs. / 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 enough food/fluids to maintain a resident's health. / 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. / 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. | E |
| 2024-08-01 | F0602, F0603, F0623, F0658, F0677, F0693, F0698, F0712, F0727, F0755, F0883, F0887 | Protect each resident from the wrongful use of the resident's belongings or money. / Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. | D |
| 2023-09-07 | F0585, F0698, F0925 | 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 safe, appropriate dialysis care/services for a resident who requires such services. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2023-09-07 | F0584, F0623, F0641, F0677, F0684, F0688, F0761, F0791, F0842, F0919 | 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / 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. / 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 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. / Provide or obtain dental services for each resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2021-12-30 | F0812, F0814 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. | F |
| 2021-12-30 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D |