| 2026-04-10 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2026-04-10 | F0550, F0584, F0628, F0679, F0761, F0804, F0812 | 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide activities to meet all resident's needs. / 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 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. | E |
| 2026-04-10 | F0558, F0658, F0677, F0686, F0687, F0689, F0690, F0759, F0842, F0947 | Reasonably accommodate the needs and preferences of each resident. / 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 pressure ulcer care and prevent new ulcers from developing. / Provide appropriate foot care. / 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. / Ensure medication error rates are not 5 percent or greater. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
| 2025-01-17 | F0687 | Provide appropriate foot care. | D |
| 2024-09-09 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-08-20 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F |
| 2024-06-26 | F0607, F0809, F0880 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / 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. / Provide and implement an infection prevention and control program. | E |
| 2024-06-26 | F0580, F0658, F0758, F0761 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. | D |
| 2024-06-26 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C |
| 2023-12-29 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-08-31 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E |
| 2023-08-31 | F0558, F0761 | Reasonably accommodate the needs and preferences of each resident. / 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 |
| 2022-10-27 | F0880 | Provide and implement an infection prevention and control program. | K |
| 2022-10-27 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F |
| 2022-10-27 | F0580, F0695, F0755, F0865, F0885 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Have a plan that describes the process for conducting QAPI and QAA activities. / Report COVID19 data to residents and families. | E |
| 2022-10-27 | F0554, F0609, F0610, F0684, F0690, F0726, F0758 | Allow residents to self-administer drugs if determined clinically appropriate. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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 |
| 2022-10-27 | F0732 | Post nurse staffing information every day. | C |