| 2026-06-05 | F0880 | Provide and implement an infection prevention and control program. | J |
| 2026-06-05 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2026-06-05 | F0680, F0812, F0944, F0946 | Ensure the activities program is directed by a qualified professional. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics. | F |
| 2026-06-05 | F0689, F0921 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2026-06-05 | F0550, F0558, F0605, F0627, F0628, F0657, F0676, F0677, F0679, F0685, F0690, F0712, F0756, F0908, F0917 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Assist a resident in gaining access to vision and hearing services. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Keep all essential equipment working safely. / Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | D |
| 2026-06-05 | F0732 | Post nurse staffing information every day. | C |
| 2026-04-16 | F0604, F0627, F0628 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2026-03-19 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E |
| 2026-03-05 | F0689, F0842 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-01-30 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2026-01-21 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-12-08 | F0689, F0880 | 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. | K |
| 2025-12-08 | F0578 | 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. | J |
| 2025-12-08 | F0550, F0576, F0725, F0730, F0867, F0919, F0941, F0942, F0944, F0946, F0949 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure residents have reasonable access to and privacy in their use of communication methods. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Observe each nurse aide's job performance and give regular training. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Make sure that a working call system is available in each resident's bathroom and bathing area. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Provide training in compliance and ethics. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F |
| 2025-12-08 | F0677, F0804, F0921 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2025-12-08 | F0628, F0656, F0657, F0684, F0695, F0697, F0726, F0740, F0757 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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 treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / 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. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2025-07-02 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2025-07-02 | F0812, F0921, F0925 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2025-07-02 | F0550, F0804, F0805 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E |
| 2025-07-02 | F0552, F0576, F0580, F0585, F0605, F0636, F0638, F0641, F0656, F0657, F0676, F0679, F0684, F0688, F0689, F0692, F0697, F0699, F0755, F0757, F0760, F0761, F0806, F0808, F0880 | Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure residents have reasonable access to and privacy in their use of communication methods. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate pain management for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / 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 that residents are free from significant medication errors. / 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 each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / Provide and implement an infection prevention and control program. | D |
| 2025-07-02 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C |
| 2025-06-27 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D |
| 2025-05-21 | F0627, F0628 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2025-03-27 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2025-03-10 | F0700 | 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. | D |
| 2025-02-13 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2025-02-13 | F0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F |
| 2025-02-13 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2025-01-17 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2025-01-17 | F0550, F0656, F0692, F0806, F0808 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide enough food/fluids to maintain a resident's health. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D |
| 2024-12-24 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2024-12-06 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-08-30 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F |
| 2024-08-30 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2024-08-30 | F0677, F0685, F0686, F0791, F0880 | 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. / Provide or obtain dental services for each resident. / Provide and implement an infection prevention and control program. | D |
| 2024-08-06 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-04-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-04-12 | F0610 | Respond appropriately to all alleged violations. | D |
| 2024-04-12 | F0843 | 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. | C |
| 2024-04-04 | F0609, F0689 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-03-27 | F0726 | 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. | F |
| 2024-03-27 | F0558, F0759, F0804, F0919 | Reasonably accommodate the needs and preferences of each resident. / Ensure medication error rates are not 5 percent or greater. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2024-03-27 | F0550, F0692, F0695, F0803 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / 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. | D |
| 2023-12-08 | F0609, F0610 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | D |
| 2023-11-28 | F0656, F0677, F0926 | 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. / Have policies on smoking. | D |
| 2023-10-31 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2023-10-31 | F0838 | 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. | E |
| 2023-10-31 | F0660, F0740, F0742 | Plan the resident's discharge to meet the resident's goals and needs. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D |
| 2023-09-21 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2023-09-21 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F |
| 2023-09-21 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2023-09-08 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F |
| 2023-09-08 | F0623, F0661, F0725 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2023-09-08 | F0584 | 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. | D |
| 2023-08-24 | F0684, F0726, F0755 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-08-17 | F0578 | 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. | J |
| 2023-08-11 | F0580, F0609 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |