| 2026-03-20 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2025-12-10 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2025-12-10 | F0730, F0756, F0761, F0812, F0868, F0925 | Observe each nurse aide's job performance and give regular training. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / 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 / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2025-12-10 | F0578, F0585, F0605, F0609, F0628, F0641, F0644, F0645, F0655, F0656, F0677, F0684, F0685, F0691, F0692, F0695, F0804, F0842, F0881, F0887, F0919 | 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. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / 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. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2025-12-10 | F0732 | Post nurse staffing information every day. | C |
| 2024-04-18 | F0609, F0732, F0812, F0842, F0865, F0868, F0919 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Post nurse staffing information every day. / 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 a plan that describes the process for conducting QAPI and QAA activities. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2024-04-18 | F0550, F0600, F0610, F0655, F0656, F0658, F0686, F0689, F0697, F0756, F0806, F0807, F0839, F0880, F0921, F0943, F0947 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. / Employ staff that are licensed, certified, or registered in accordance with state laws. / Provide and implement an infection prevention and control program. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
| 2019-06-21 | F0759 | Ensure medication error rates are not 5 percent or greater. | E |
| 2019-06-21 | F0550, F0578, F0655, F0684, F0686, F0689, F0700, F0761 | 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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. / 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 |