| 2025-02-13 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2025-01-06 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2025-01-06 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| 2024-12-09 | F0692, F0693 | Provide enough food/fluids to maintain a resident's health. / 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. | G |
| 2024-12-09 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2024-12-09 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2024-11-20 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | G |
| 2024-11-20 | F0727, F0801, F0812, F0865, F0867, F0868 | 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. / 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. / 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 | F |
| 2024-11-20 | F0585, F0677, F0803, F0804 | 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 care and assistance to perform activities of daily living for any resident who is unable. / 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. | E |
| 2024-11-20 | F0684, F0689, F0695, F0758, F0791, F0805 | 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. / 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. / Provide or obtain dental services for each resident. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D |
| 2024-10-24 | F0550, F0584, F0677 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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 care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2024-10-24 | F0689, F0755 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-10-02 | F0558, F0677, F0684, F0697, F0773 | Reasonably accommodate the needs and preferences of each resident. / 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 safe, appropriate pain management for a resident who requires such services. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D |
| 2024-09-03 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2024-05-21 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2024-02-05 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-02-05 | F0580, F0583, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Keep residents' personal and medical records private and confidential. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-12-20 | F0677, F0689 | 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. | D |
| 2023-11-27 | F0552, F0689 | Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-10-18 | F0741, F0812 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-10-18 | F0758 | 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. | E |
| 2023-10-18 | F0602, F0675, F0684, F0690, F0726 | Protect each resident from the wrongful use of the resident's belongings or money. / Honor each resident's preferences, choices, values and beliefs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. | D |
| 2023-10-18 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C |
| 2023-08-16 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2023-08-04 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2023-08-04 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2022-09-29 | F0686, F0689 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2022-09-29 | F0725, F0802, F0804, F0812, F0880 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / 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. / Provide and implement an infection prevention and control program. | F |
| 2022-09-29 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2022-09-29 | F0554, F0561, F0600, F0690, F0695, F0697, F0698, F0700, F0744, F0758, F0759, F0909 | 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / 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 safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / 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. / Ensure medication error rates are not 5 percent or greater. / Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D |