| 2026-05-15 | F0586 | Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials. | D |
| 2026-04-16 | F0555 | Honor the resident's right to choose his or her attending physician. | E |
| 2026-02-17 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2026-02-17 | F0610 | Respond appropriately to all alleged violations. | D |
| 2025-09-09 | F0838, F0865, F0880, F0881, F0882 | 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. / 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 |
| 2025-09-09 | F0584, F0727, F0756, F0883 | 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. / 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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2025-09-09 | F0558, F0568, F0600, F0602, F0628, F0641, F0684, F0689, F0697, F0760, F0761 | Reasonably accommodate the needs and preferences of each resident. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from the wrongful use of the resident's belongings or money. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / 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 safe, appropriate pain management for a resident who requires such services. / Ensure that residents are free from significant medication errors. / 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. | D |
| 2025-06-26 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E |
| 2025-06-26 | F0741 | Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D |
| 2025-05-23 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D |
| 2025-04-25 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-04-25 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | G |
| 2025-04-25 | F0623, F0658, F0661 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D |
| 2025-03-14 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-03-14 | F0553, F0603 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G |
| 2025-03-14 | F0576, F0925 | Ensure residents have reasonable access to and privacy in their use of communication methods. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2025-03-14 | F0623, F0658, F0661, F0741 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | D |
| 2025-02-03 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-02-03 | F0610 | Respond appropriately to all alleged violations. | D |
| 2024-12-26 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-12-26 | F0610 | Respond appropriately to all alleged violations. | D |
| 2024-09-12 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-08-05 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-08-05 | F0759, F0760 | Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. | D |
| 2024-06-14 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-05-02 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2024-01-30 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| 2024-01-30 | F0584 | 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. | E |
| 2024-01-30 | F0609, F0610 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | D |
| 2023-12-12 | F0600, F0689, F0742 | 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. / 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. | J |
| 2023-12-12 | F0584 | 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. | E |
| 2023-12-12 | F0609, F0610, F0740 | 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 must receive and the facility must provide necessary behavioral health care and services. | D |
| 2023-09-29 | F0880 | Provide and implement an infection prevention and control program. | J |
| 2023-09-29 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-09-29 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-09-29 | F0567, F0568, F0570, F0759 | 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. / Ensure medication error rates are not 5 percent or greater. | E |
| 2023-09-29 | F0580, F0609, F0610, F0622, F0623, F0656, F0686, F0690, F0691, F0695, F0698, F0726, F0758 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / 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. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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 appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / 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 |
| 2023-08-23 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2019-07-26 | F0880, F0925 | 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. | F |
| 2019-07-26 | F0656, F0804 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2019-07-26 | F0573, F0578, F0582, F0641, F0745, F0758, F0761, F0842 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Ensure each resident receives an accurate assessment. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / 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 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |