| 2025-04-08 | F0558, F0585, F0656, F0689, F0694, F0758, F0761, F0804, F0812, F0880 | Reasonably accommodate the needs and preferences of each resident. / 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 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. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / 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. / 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. / 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. / Provide and implement an infection prevention and control program. | E |
| 2025-04-08 | F0655, F0658, F0699, F0700, F0756, F0842 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care or services that was trauma informed and/or culturally competent. / 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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-04-08 | F0908 | Keep all essential equipment working safely. | B |
| 2024-05-15 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-05-15 | F0761, F0777 | 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 or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D |
| 2023-11-21 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E |
| 2023-11-21 | F0675, F0842 | Honor each resident's preferences, choices, values and beliefs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-09-19 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-09-19 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2022-12-27 | F0561, F0658 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2022-12-27 | F0582, F0640 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B |