| 2026-02-27 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J |
| 2025-11-18 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-06-27 | F0699, F0757, F0760, F0880 | Provide care or services that was trauma informed and/or culturally competent. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program. | D |
| 2024-11-20 | F0609, F0689, F0740, F0745 | 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. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide medically-related social services to help each resident achieve the highest possible quality of life. | D |
| 2024-11-13 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-11-13 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2024-10-17 | 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 |
| 2024-10-17 | F0567 | Honor the resident's right to manage his or her financial affairs. | E |
| 2024-10-17 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-09-09 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2024-09-09 | F0727, F0728, F0801, F0812, F0851, F0865, F0868, F0880, F0881, F0882 | 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. / Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. / 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 / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F |
| 2024-09-09 | F0607, F0625, F0638, F0678, F0755, F0756 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / 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. / Assure that each resident’s assessment is updated at least once every 3 months. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E |
| 2024-09-09 | F0636, F0640, F0655, F0686, F0688, F0690, F0692, F0695, F0758, F0842 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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 and appropriate respiratory care for a resident when needed. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-09-09 | F0732 | Post nurse staffing information every day. | C |
| 2024-04-12 | F0550, F0757, F0758 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. | D |
| 2024-02-28 | F0550, F0609, F0757, F0758 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. | D |
| 2023-11-09 | F0727, F0728, F0730 | 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. / Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. / Observe each nurse aide's job performance and give regular training. | F |
| 2022-08-22 | F0727, F0812, F0880 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | F |
| 2022-08-22 | F0584, F0607, F0728, F0919 | 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2022-08-22 | F0625, F0759, F0760 | 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 medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. | D |