| 2026-05-28 | F0550, F0677, F0689, F0725, F0825 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide or get specialized rehabilitative services as required for a resident. | D |
| 2025-12-23 | F0558, F0725 | Reasonably accommodate the needs and preferences of each resident. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D |
| 2025-11-05 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-09-04 | F0801, F0865 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| 2025-09-04 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2025-09-04 | F0550, F0658, F0684, F0689, F0695, F0759, F0760, F0887 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure services provided by the nursing facility meet professional standards of quality. / 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 safe and appropriate respiratory care for a resident when needed. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / 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 |
| 2025-03-24 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2024-12-31 | F0622, F0623 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D |
| 2024-09-26 | F0801, F0812 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-09-26 | F0606, F0657, F0658, F0692, F0695, F0697, F0883, F0887 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / 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 |
| 2024-09-26 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | C |
| 2024-05-22 | F0550, F0600, F0609, F0610, F0689, F0741, F0867 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / 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 the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D |
| 2024-01-25 | F0725, F0727 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. | F |
| 2024-01-25 | F0645, F0656, F0658, F0689 | 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-01-10 | F0727, F0812 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-01-10 | F0565, F0567, F0584 | Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. | E |
| 2024-01-10 | F0725, F0926 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Have policies on smoking. | D |
| 2023-11-30 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J |
| 2023-11-30 | F0550, F0689 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-09-25 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-06-29 | F0550, F0609, F0610, F0812, F0836, F0865, F0868 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E |
| 2023-06-29 | F0582, F0657, F0689, F0732, F0758 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Post nurse staffing information every day. / 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. | D |