| 2026-02-09 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2026-02-09 | F0550, F0561, F0812, F0842, F0868 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E |
| 2026-02-09 | F0584, F0600, F0609, F0610, F0628, F0641, F0656, F0676, F0684, F0689, F0695, F0700, F0725, F0761, F0791, F0804, F0880, F0908, F0921 | 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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 residents do not lose the ability to perform activities of daily living unless there is a medical reason. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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 dental services for each resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. / Keep all essential equipment working safely. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2025-09-11 | F0580, F0610, F0628, F0680, F0850 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Respond appropriately to all alleged violations. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure the activities program is directed by a qualified professional. / Hire a qualified full-time social worker in a facility with more than 120 beds. | D |
| 2024-09-30 | F0761 | 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. | J |
| 2024-09-30 | F0550, F0584, F0609, F0655 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | F |
| 2024-09-30 | F0684, F0689, F0711 | 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. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E |
| 2024-09-30 | F0600, F0602, F0610, F0640, F0646, F0656, F0657, F0658, F0690, F0732, F0755, F0791, F0812, F0838, F0842, F0880, F0908 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from the wrongful use of the resident's belongings or money. / Respond appropriately to all alleged violations. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. / 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. / 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. / Post nurse staffing information every day. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide or obtain dental services for each resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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. / 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. / Keep all essential equipment working safely. | D |
| 2023-08-04 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2023-08-04 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2023-08-04 | F0584, F0726, F0730, F0838, F0850, F0921 | 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. / 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. / Observe each nurse aide's job performance and give regular training. / 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. / Hire a qualified full-time social worker in a facility with more than 120 beds. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F |
| 2023-08-04 | F0550, F0607, F0609, F0610, F0657, F0684, F0812, F0868, F0880, F0925 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Respond appropriately to all alleged violations. / 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 treatment and care according to orders, resident’s preferences and goals. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2023-08-04 | F0563, F0580, F0602, F0641, F0660, F0677, F0685, F0686, F0711, F0712, F0740, F0755, F0757, F0761, F0840, F0842, F0843 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from the wrongful use of the resident's belongings or money. / Ensure each resident receives an accurate assessment. / Plan the resident's discharge to meet the resident's goals and needs. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | D |
| 2019-10-23 | F0684, F0756, F0791, F0836, F0842 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Provide or obtain dental services for each resident. / Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2019-10-23 | F0550, F0580, F0610, F0641, F0656, F0685, F0757, F0758, F0759, F0761 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Respond appropriately to all alleged violations. / 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. / Assist a resident in gaining access to vision and hearing services. / 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. / 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. | D |