| 2026-03-05 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2026-03-05 | F0584, F0759, F0882 | 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 medication error rates are not 5 percent or greater. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E |
| 2026-03-05 | F0558, F0580, F0628, F0658, F0686, F0693, F0695, F0842, F0887 | Reasonably accommodate the needs and preferences of each resident. / 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 services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe and appropriate respiratory care for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / 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. | D |
| 2025-12-23 | F0812, F0835 | 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. | F |
| 2025-12-23 | F0584, F0677, F0725, F0803, F0804 | 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2025-12-23 | F0552, F0684 | Ensure that residents are fully informed and understand their health status, care and treatments. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-11-25 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-11-25 | F0609, F0610, F0741 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | E |
| 2025-11-25 | F0607, F0658, F0684 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-10-30 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | J |
| 2025-10-30 | F0730, F0865, F0868, F0940, F0947 | Observe each nurse aide's job performance and give regular training. / 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 / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F |
| 2025-10-30 | F0558, F0679, F0744, F0842 | Reasonably accommodate the needs and preferences of each resident. / Provide activities to meet all resident's needs. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-08-04 | F0659, F0698, F0835 | Provide care by qualified persons according to each resident's written plan of care. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E |
| 2025-08-04 | F0689, F0761, F0880 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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 and implement an infection prevention and control program. | D |
| 2025-04-03 | F0801, F0803, F0882 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2025-04-03 | F0656, F0657, F0677, F0689, F0880 | 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 care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. | D |
| 2024-11-15 | F0880, F0921, F0943 | 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. | F |
| 2024-11-15 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2024-11-15 | F0623, F0657, F0695, F0887, F0949 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D |
| 2024-06-13 | F0609, F0656, F0689 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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. | D |
| 2024-03-21 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2023-10-04 | F0550, F0689, F0695, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Provide and implement an infection prevention and control program. | D |