| 2026-03-25 | F0725, F0838 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. | F |
| 2026-03-25 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2026-03-25 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D |
| 2025-11-21 | F0600, F0602, F0686, F0697 | 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2025-11-21 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-08-14 | F0580, F0628, F0689 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-07-17 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D |
| 2025-06-05 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| 2025-06-05 | F0582, F0628, F0725, F0761 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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. | E |
| 2025-06-05 | F0552, F0584, F0600, F0605, F0609, F0610, F0638, F0645, F0655, F0656, F0657, F0740, F0756, F0757 | 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / 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. / Respond appropriately to all alleged violations. / Assure that each resident’s assessment is updated at least once every 3 months. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure each resident must receive and the facility must provide necessary behavioral health care and 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’s drug regimen must be free from unnecessary drugs. | D |
| 2025-03-13 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
| 2024-11-13 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2024-11-13 | F0585, F0609, F0610 | 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | D |
| 2024-11-13 | F0732 | Post nurse staffing information every day. | C |
| 2024-06-20 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-05-15 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F |
| 2024-05-15 | F0572, F0725 | Give residents a notice of rights, rules, services and charges. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2024-05-15 | F0550, F0554, F0656, F0657, F0686, F0756, F0791, F0690 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2024-02-01 | F0689, F0711 | 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. | G |
| 2023-06-08 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-06-08 | F0600, F0607, F0684, F0689, F0810 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / 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 special eating equipment and utensils for residents who need them and appropriate assistance. | D |