| 2026-02-17 | F0880 | Provide and implement an infection prevention and control program. | K |
| 2026-02-17 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-02-17 | F0801, F0868, F0882 | 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 the Quality Assessment and Assurance group have the required members and meet at least quarterly / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2026-02-17 | F0761, F0921 | 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2026-02-17 | F0656, F0657, F0756, F0883 | 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2025-09-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-03-25 | F0690, F0727 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. | D |
| 2024-11-14 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-11-14 | F0761, 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. / Provide and implement an infection prevention and control program. | E |
| 2024-11-14 | F0635, F0636, F0656, F0658, F0692, F0728 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / 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. / Provide enough food/fluids to maintain a resident's health. / Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D |
| 2024-09-03 | F0727 | 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. | E |
| 2023-11-03 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2023-09-25 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-09-25 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F |
| 2023-09-25 | 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 |
| 2023-09-25 | F0550, F0580, F0641, F0684, F0695, F0744, F0758, F0791, F0804, F0880, F0940 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide or obtain dental services for each resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D |
| 2023-09-25 | F0814, F0851 | Dispose of garbage and refuse properly. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C |