| 2025-12-18 | F0726, F0880 | 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 and implement an infection prevention and control program. | F |
| 2025-12-18 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2025-12-18 | F0582, F0887 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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 |
| 2025-12-04 | F0600, F0657 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2025-03-27 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2024-11-06 | 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. | J |
| 2024-11-06 | F0725, F0838, F0841, F0865, F0867, F0880, F0940, F0941, F0942, F0943, F0944, F0945, F0946, F0947, F0949 | 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. / Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. / Have a plan that describes the process for conducting QAPI and QAA activities. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Provide and implement an infection prevention and control program. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / 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. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. / Provide training in compliance and ethics. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F |
| 2024-11-06 | F0688 | 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. | E |
| 2024-11-06 | F0550, F0585, F0609, F0610, F0641, F0656, F0690 | 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 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. / 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. / 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 |
| 2024-11-06 | F0840, F0843 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. / 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 |
| 2024-07-17 | F0610, F0684 | Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-06-13 | F0803 | 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. | J |
| 2023-12-06 | F0609, F0610, F0744 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D |
| 2023-11-29 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2023-11-29 | F0554, F0740 | Allow residents to self-administer drugs if determined clinically appropriate. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2023-11-29 | F0732 | Post nurse staffing information every day. | C |
| 2023-11-22 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-11-22 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D |
| 2023-09-08 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |