| 2026-03-04 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D |
| 2026-01-13 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2026-01-13 | F0550, F0575, F0576, F0578, F0584, F0677, F0679, F0684, F0687, F0690, F0867, F0881 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. / Ensure residents have reasonable access to and privacy in their use of communication methods. / 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. / 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 care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate foot care. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Implement a program that monitors antibiotic use. | E |
| 2026-01-13 | F0554, F0628, F0657, F0658, F0676, F0689, F0693, F0740, F0761, F0808, F0880 | Allow residents to self-administer drugs if determined clinically appropriate. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / 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. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. / Provide and implement an infection prevention and control program. | D |
| 2025-11-18 | F0677, F0880 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide and implement an infection prevention and control program. | E |
| 2025-11-18 | F0658, F0684, F0692, F0740 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2025-07-31 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-06-12 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| 2025-06-12 | F0610, F0760 | Respond appropriately to all alleged violations. / Ensure that residents are free from significant medication errors. | D |
| 2025-04-16 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2025-01-14 | F0550, F0804, F0812 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| 2024-08-29 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2024-08-02 | F0760 | Ensure that residents are free from significant medication errors. | D |
| 2024-07-01 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E |
| 2024-07-01 | F0644, F0740 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2024-06-04 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D |
| 2024-02-15 | F0812, F0865, F0868, F0880, F0881 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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. | F |
| 2024-02-15 | F0565, F0572, F0679, F0689, F0761, F0809, F0921 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Give residents a notice of rights, rules, services and charges. / Provide activities to meet all resident's needs. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2024-02-15 | F0550, F0580, F0604, F0605, F0625, F0641, F0645, F0656, F0657, F0677, F0684, F0692, F0695, F0726, F0756, F0758, F0777, F0883 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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 enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / 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. / Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2024-02-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2023-11-16 | F0567, F0568, F0570, F0602 | 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. / Assure the security of all personal funds of residents deposited with the facility. / Protect each resident from the wrongful use of the resident's belongings or money. | E |
| 2023-09-28 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2023-09-28 | F0572 | Give residents a notice of rights, rules, services and charges. | D |
| 2021-08-31 | F0679, F0802, F0804 | Provide activities to meet all resident's needs. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F |
| 2021-08-31 | F0565, F0570, F0578, F0584, F0755, F0761, F0809, F0867, F0880, F0909 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Assure the security of all personal funds of residents deposited with the facility. / 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. / 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / 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. / 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. / Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E |
| 2021-08-31 | F0582, F0609, F0622, F0656, F0677, F0684, F0689, F0690, F0692, F0700, F0842 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2021-08-31 | F0577, F0812 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | C |