| 2026-02-20 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2026-02-20 | F0550, F0568, F0628, F0761, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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. | E |
| 2026-02-20 | F0644, F0677, F0686, F0689, F0760, F0770, F0802 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that residents are free from significant medication errors. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D |
| 2025-09-16 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E |
| 2025-09-16 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-04-28 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-04-03 | F0761 | 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. | E |
| 2025-03-12 | F0692 | Provide enough food/fluids to maintain a resident's health. | G |
| 2025-03-12 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2025-03-12 | F0610, F0658 | Respond appropriately to all alleged violations. / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2025-01-28 | F0600, F0686, F0692 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. | G |
| 2025-01-28 | F0550, F0610, F0658, F0677, F0690 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Respond appropriately to all alleged violations. / 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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2024-11-15 | F0607, F0760 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure that residents are free from significant medication errors. | D |
| 2024-09-19 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2024-09-19 | F0607, F0760, F0800 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure that residents are free from significant medication errors. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D |
| 2024-06-17 | 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 |
| 2024-05-17 | F0600, F0686 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-05-17 | F0727, F0838, F0865, F0867, F0868 | 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. / 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. / 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. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F |
| 2024-05-17 | F0567, F0568, F0569, F0570, F0577, F0582, F0602, F0607, F0732, F0842 | Honor the resident's right to manage his or her financial affairs. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Assure the security of all personal funds of residents deposited with the facility. / Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Protect each resident from the wrongful use of the resident's belongings or money. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Post nurse staffing information every day. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-05-17 | F0609, F0610, F0623, F0625, F0641, F0742, F0756, F0758 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / 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. / Ensure each resident receives an accurate assessment. / 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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 |
| 2024-02-23 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2024-01-10 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2023-10-20 | F0658, F0697 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide safe, appropriate pain management for a resident who requires such services. | D |