| 2025-06-25 | F0641, F0760 | Ensure each resident receives an accurate assessment. / Ensure that residents are free from significant medication errors. | E |
| 2025-06-25 | F0638, F0645, F0658, F0689, F0698, F0842, F0880 | Assure that each resident’s assessment is updated at least once every 3 months. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2025-06-25 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B |
| 2024-10-23 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-05-24 | F0725, F0926 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Have policies on smoking. | F |
| 2024-05-24 | F0689, F0804, F0812, F0835 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E |
| 2024-05-24 | F0585, F0607, F0610, F0644, F0656, F0685, F0698, F0730, F0740, F0825 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Assist a resident in gaining access to vision and hearing services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Observe each nurse aide's job performance and give regular training. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide or get specialized rehabilitative services as required for a resident. | D |
| 2024-05-24 | F0641 | Ensure each resident receives an accurate assessment. | B |
| 2023-10-12 | F0656, F0686 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2023-10-12 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-09-27 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2023-02-21 | F0656, F0812, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. | E |
| 2023-02-21 | F0550, F0572, F0584, F0644, F0694, F0756, F0758, F0825, F0924 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Give residents a notice of rights, rules, services and charges. / 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 for the safe, appropriate administration of IV fluids for a resident when needed. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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 get specialized rehabilitative services as required for a resident. / Put firmly secured handrails on each side of hallways. | D |