| 2026-03-12 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2026-03-12 | F0689, F0760 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that residents are free from significant medication errors. | E |
| 2025-11-26 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D |
| 2025-10-02 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J |
| 2025-10-02 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2025-10-02 | F0759 | Ensure medication error rates are not 5 percent or greater. | E |
| 2025-10-02 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-06-25 | F0609, F0684 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2025-06-25 | F0583, F0607, F0610, F0689, F0842 | Keep residents' personal and medical records private and confidential. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-05-28 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-05-12 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2025-05-12 | F0693 | 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. | D |
| 2025-04-17 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-04-04 | F0880 | Provide and implement an infection prevention and control program. | L |
| 2025-04-04 | F0692 | Provide enough food/fluids to maintain a resident's health. | G |
| 2025-04-04 | F0659 | Provide care by qualified persons according to each resident's written plan of care. | F |
| 2025-04-04 | F0759, F0761 | Ensure medication error rates are not 5 percent or greater. / 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. | E |
| 2025-04-04 | F0550, F0656, F0657, F0677, F0686, F0695, F0758 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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 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 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. | D |
| 2025-02-20 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2025-01-29 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2025-01-29 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-01-16 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-11-27 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | L |
| 2024-11-27 | F0727, F0839, F0867 | 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 staff that are licensed, certified, or registered in accordance with state laws. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2024-11-27 | F0578, F0726 | 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. / 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 |
| 2024-06-27 | F0568, F0580, F0689 | Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-06-13 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| 2024-06-13 | F0940, F0941, F0942, F0944, F0945, F0947, F0949 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F |
| 2024-06-13 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-06-13 | F0609, F0840 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D |
| 2024-04-23 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-02-23 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-02-23 | F0761, F0801, F0812, F0868, F0880 | 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. / 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 the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program. | F |
| 2024-02-23 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E |
| 2024-02-23 | F0550, F0578, F0609, F0684, F0759, F0881, F0883 | 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure medication error rates are not 5 percent or greater. / Implement a program that monitors antibiotic use. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2023-12-29 | F0580, F0641, F0689, F0842 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure each resident receives an accurate assessment. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-08-17 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-08-17 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-01-20 | F0801 | 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. | F |
| 2023-01-20 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |