| 2025-07-31 | F0552, F0637, F0638, F0677, F0695, F0699, F0725 | Ensure that residents are fully informed and understand their health status, care and treatments. / Assess the resident when there is a significant change in condition / Assure that each resident’s assessment is updated at least once every 3 months. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D |
| 2024-10-17 | F0760 | Ensure that residents are free from significant medication errors. | E |
| 2024-10-17 | F0610, F0658 | Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-09-26 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-09-17 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-09-17 | F0656, F0676 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D |
| 2024-08-01 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2024-08-01 | F0552, F0851 | Ensure that residents are fully informed and understand their health status, care and treatments. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D |
| 2024-08-01 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | B |
| 2024-05-09 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-05-09 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-03-25 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-03-25 | F0609, F0610, F0677, F0686, F0690, F0755 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-05-18 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J |
| 2023-05-18 | F0726, F0760 | 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. / Ensure that residents are free from significant medication errors. | G |
| 2023-05-18 | F0812, F0865, F0867, F0880, F0881 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. / 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. | F |
| 2023-05-18 | F0583, F0761, F0944 | Keep residents' personal and medical records private and confidential. / 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. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E |
| 2023-05-18 | F0578, F0623, F0676, F0679, F0689, F0730, F0756, F0759 | 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Observe each nurse aide's job performance and give regular training. / 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. | D |
| 2023-05-18 | 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 |