| 2026-06-03 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2026-06-03 | F0814 | Dispose of garbage and refuse properly. | C |
| 2025-12-10 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J |
| 2025-12-10 | F0584 | 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. | E |
| 2025-12-10 | F0641, F0656, F0658, F0690, F0880 | Ensure each resident receives an accurate assessment. / 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide and implement an infection prevention and control program. | D |
| 2025-06-23 | F0812, F0880 | 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 |
| 2025-06-23 | F0636, F0641, F0759, F0804 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / Ensure medication error rates are not 5 percent or greater. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2025-06-23 | F0552, F0655, F0883 | Ensure that residents are fully informed and understand their health status, care and treatments. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2025-01-15 | F0692 | Provide enough food/fluids to maintain a resident's health. | G |
| 2025-01-15 | F0801, F0812 | 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. | F |
| 2025-01-15 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2025-01-15 | F0622, F0623, F0641, F0656, F0657, F0688, F0690, F0699, F0740, F0756, F0757, F0758, F0887 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / 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 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. / 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 care or services that was trauma informed and/or culturally competent. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / 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 |
| 2024-10-10 | F0604, F0742 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | J |
| 2024-02-01 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-02-01 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | G |
| 2024-02-01 | F0835, F0867 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2024-01-16 | F0609, F0610 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | L |
| 2024-01-16 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K |
| 2024-01-16 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |