| 2025-07-30 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| 2025-07-30 | F0644, F0657, F0725, F0740, F0760, F0812, F0880 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / 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 nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure that residents are free from significant medication errors. / 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. | D |
| 2024-07-15 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-07-15 | F0658, F0725, F0812 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-07-15 | F0550, F0580, F0584, F0657, F0684, F0689, F0880, F0919 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / 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 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 and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-07-15 | F0623, F0625 | 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. | B |
| 2023-10-24 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |