| 2026-01-30 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K |
| 2026-01-30 | F0657, F0851, F0865, F0867, F0868, F0881, F0887 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. / 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. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Implement a program that monitors antibiotic use. / 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. | F |
| 2026-01-30 | F0550, F0572, F0577, F0580, F0584, F0585, F0606, F0607, F0610, F0677, F0678, F0689, F0692, F0725, F0726, F0727, F0730, F0802, F0803, F0804, F0812, F0814, F0842, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Give residents a notice of rights, rules, services and charges. / Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / 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. / 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. / Not hire anyone with a finding of abuse, neglect, exploitation, or theft. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / 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. / Observe each nurse aide's job performance and give regular training. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | E |
| 2026-01-30 | F0582, F0602, F0628, F0641, F0655, F0679, F0684, F0693, F0695, F0805, F0808 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Protect each resident from the wrongful use of the resident's belongings or money. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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 and appropriate respiratory care for a resident when needed. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D |
| 2025-11-12 | F0658, F0690 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E |
| 2025-11-12 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-06-13 | F0684, F0838, F0882 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E |
| 2025-06-13 | F0584, F0609, F0610, F0656, F0657, F0686, F0725, F0842 | 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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 pressure ulcer care and prevent new ulcers from developing. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-01-09 | F0812, F0943 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E |
| 2025-01-09 | F0550, F0641, F0658, F0660, F0684, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Plan the resident's discharge to meet the resident's goals and needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide and implement an infection prevention and control program. | D |
| 2024-01-10 | F0600, F0610, F0688 | 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. / 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. | D |