| 2026-06-25 | F0699, F0880 | Provide care or services that was trauma informed and/or culturally competent. / Provide and implement an infection prevention and control program. | D |
| 2026-05-21 | F0802, F0838 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / 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. | F |
| 2026-05-21 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E |
| 2026-05-21 | F0580, F0641, F0644, F0686, F0691, F0756 | 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D |
| 2026-03-11 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2026-03-11 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2026-01-21 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | J |
| 2026-01-21 | F0580, F0609, F0610, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-11-07 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2025-10-15 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-09-15 | F0580, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-04-07 | 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 |
| 2025-04-07 | F0565, F0761 | Honor the resident's right to organize and participate in resident/family groups in the facility. / 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 |
| 2025-04-07 | F0623, F0625, F0641, F0645, F0657, F0677, F0690, F0887 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / 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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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 |
| 2025-02-20 | F0602, F0609, F0610, F0760, F0842 | Protect each resident from the wrongful use of the resident's belongings or money. / 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 residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-10-25 | F0580, F0656, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-09-06 | F0580, F0695, F0755 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-07-19 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2024-07-19 | F0684, F0689 | 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. | D |
| 2024-03-22 | F0689, F0744 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | J |
| 2024-03-22 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-02-15 | F0554, F0657, F0679, F0689, F0812 | Allow residents to self-administer drugs if determined clinically appropriate. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-02-15 | F0583, F0690, F0693 | Keep residents' personal and medical records private and confidential. / 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 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 |