| 2025-11-18 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-04-02 | F0801 | 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. | F |
| 2025-04-02 | 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. | E |
| 2025-04-02 | F0561, F0569, F0584, F0623, F0625, F0699, F0730, F0758, F0809, F0812, F0813, F0908, F0921, F0947 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Provide care or services that was trauma informed and/or culturally competent. / Observe each nurse aide's job performance and give regular training. / 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 meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. / Keep all essential equipment working safely. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
| 2025-04-02 | F0550, F0679 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide activities to meet all resident's needs. | C |
| 2025-02-06 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-12-13 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2024-10-30 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-08-23 | F0561, F0563 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | D |
| 2024-08-23 | F0567 | Honor the resident's right to manage his or her financial affairs. | B |
| 2024-06-07 | F0689, F0812 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-06-07 | F0698, F0814, F0880, F0925 | Provide safe, appropriate dialysis care/services for a resident who requires such services. / Dispose of garbage and refuse properly. / Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2023-10-13 | F0880 | Provide and implement an infection prevention and control program. | K |
| 2023-08-15 | F0585 | 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. | D |
| 2022-12-06 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2022-12-06 | F0584, F0623, F0880, F0924 | 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Provide and implement an infection prevention and control program. / Put firmly secured handrails on each side of hallways. | E |
| 2022-12-06 | F0550, F0578, F0625, F0641, F0655, F0656, F0658, F0677, F0684, F0686, F0688, F0690, F0692, F0698, F0732, F0761, F0883 | 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / 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 each resident receives an accurate assessment. / 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. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Post nurse staffing information every day. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |