| 2026-06-03 | F0558, F0656, F0658, F0686, F0687, F0693, F0695, F0761, F0880 | Reasonably accommodate the needs and preferences of each resident. / 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 pressure ulcer care and prevent new ulcers from developing. / Provide appropriate foot care. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / 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. | D |
| 2026-05-06 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| 2026-05-06 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E |
| 2026-05-06 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D |
| 2026-03-18 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G |
| 2026-03-18 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-12-03 | F0641, F0812, F0842 | Ensure each resident receives an accurate assessment. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-12-03 | F0644, F0658, F0700, F0761 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / 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. | D |
| 2025-06-26 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-04-03 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-02-27 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-02-27 | F0580, F0636, F0656, F0657, F0842 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-01-27 | 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 |
| 2025-01-27 | F0623, F0656 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2025-01-27 | F0677, F0842 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-11-14 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-09-20 | F0689, F0726, F0835 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | K |
| 2024-09-20 | F0584, F0644, F0692, F0761, F0802, F0812, F0847, F0867, F0880 | 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide enough food/fluids to maintain a resident's health. / 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 sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program. | E |
| 2024-09-20 | F0558, F0609, F0641, F0656, F0677, F0693 | Reasonably accommodate the needs and preferences of each resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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 |
| 2024-09-20 | F0732 | Post nurse staffing information every day. | C |
| 2024-07-18 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-07-18 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-07-18 | F0558, F0677, F0842 | 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-06-10 | F0684, F0689, F0835 | 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. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | J |
| 2024-06-10 | F0837, F0838, F0865 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. / 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. / Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| 2024-06-10 | F0760, F0803, F0812, F0941 | Ensure that residents are free from significant medication errors. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E |
| 2024-06-10 | F0609, F0656, F0758 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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 |
| 2024-04-16 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-04-16 | F0656, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide and implement an infection prevention and control program. | D |
| 2023-12-14 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2023-11-29 | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D |
| 2023-08-17 | F0725, F0755, F0835 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F |
| 2023-08-17 | F0658, F0759, F0761, F0838, F0867 | Ensure services provided by the nursing facility meet professional standards of quality. / 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. / 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2023-08-17 | F0602, F0677, F0695 | Protect each resident from the wrongful use of the resident's belongings or money. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. | D |