| 2025-06-16 | F0580, F0689, F0726, F0835 | 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. / 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. | J |
| 2025-06-16 | F0730 | Observe each nurse aide's job performance and give regular training. | F |
| 2025-06-16 | F0584, F0880, F0881, F0887 | 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. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / 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. | E |
| 2025-06-16 | F0641, F0656, F0658, F0677, F0679, F0684, F0685, F0688, F0695, F0699, F0744, F0761, F0770, F0791, F0805, F0865 | 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 care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / 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 safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / 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 timely, quality laboratory services/tests to meet the needs of residents. / Provide or obtain dental services for each resident. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Have a plan that describes the process for conducting QAPI and QAA activities. | D |
| 2025-04-01 | F0686, F0760 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that residents are free from significant medication errors. | D |
| 2024-07-09 | F0725, F0880 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program. | F |
| 2024-07-09 | F0550, F0656, F0761, F0790 | 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. / 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 routine and 24-hour emergency dental care for each resident. | E |
| 2024-07-09 | F0554, F0578, F0641, F0658, F0684, F0686, F0689, F0692, F0695, F0698, F0740, F0812, F0842, F0908, F0607, F0609, F0691 | Allow residents to self-administer drugs if determined clinically appropriate. / 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 each resident receives an accurate assessment. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / 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. / Keep all essential equipment working safely. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D |
| 2024-04-01 | F0656, F0689 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-05-01 | F0552, F0584, F0656, F0677, F0684, F0688, F0695, F0699, F0756, F0759, F0804, F0880 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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 safe and appropriate respiratory care for a resident when needed. / Provide care or services that was trauma informed and/or culturally competent. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. | D |
| 2023-05-01 | F0623, F0625 | 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. | B |