| 2026-05-20 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-04-30 | F0609, F0689, F0697, F0880 | 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. / Provide safe, appropriate pain management for a resident who requires such services. / Provide and implement an infection prevention and control program. | D |
| 2026-02-25 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2026-02-25 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2026-01-14 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2026-01-14 | F0812, F0921 | 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. | F |
| 2026-01-14 | F0761, F0880, F0883 | 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2026-01-14 | F0610, F0628, F0740 | 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 must receive and the facility must provide necessary behavioral health care and services. | D |
| 2025-09-02 | F0600, F0609 | 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. | D |
| 2025-09-02 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C |
| 2025-07-24 | F0552, F0580, F0585, F0657, F0684, F0755 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-05-28 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| 2025-05-28 | F0609, F0610, F0627, F0699, F0710, F0740 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide care or services that was trauma informed and/or culturally competent. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2025-05-28 | 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. | C |
| 2024-12-24 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-11-18 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G |
| 2024-11-18 | F0574, F0838, F0847, F0880 | The resident has the right to receive notices in a format and a language he or she understands. / 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. / Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. / Provide and implement an infection prevention and control program. | F |
| 2024-11-18 | F0607, F0689, F0725, F0726 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. | E |
| 2024-11-18 | F0585, F0586, F0642, F0657, F0758, F0761, F0791, F0825, F0882 | 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. / Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. / Ensure a qualified health professional conducts resident assessments. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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 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. / Provide or get specialized rehabilitative services as required for a resident. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | D |
| 2024-09-24 | F0600, F0689 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-05-21 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-04-25 | F0867, F0940, F0944 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F |
| 2024-04-25 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E |
| 2024-04-25 | F0689, F0695, F0755 | 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-02-28 | F0559, F0625, F0661, F0689 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |