| 2025-12-16 | F0561, F0600 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D |
| 2025-10-23 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2025-10-23 | F0610, F0684, F0744 | Respond appropriately to all alleged violations. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D |
| 2025-06-19 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2025-06-19 | F0657, F0679, F0692, F0919 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide activities to meet all resident's needs. / Provide enough food/fluids to maintain a resident's health. / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2025-06-19 | F0578, F0584, F0655, F0656, F0689, F0740, F0742 | 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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 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. | D |
| 2024-12-31 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2024-12-31 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2024-10-09 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | E |
| 2024-10-09 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2024-01-29 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2023-05-23 | F0684, F0692 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. | G |
| 2023-05-23 | F0656, F0695, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | E |
| 2023-05-23 | F0600, F0610, F0677, F0686, F0689, F0741, F0744, F0756, F0758, F0849 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. / 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 the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / 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. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D |
| 2023-05-23 | F0585, F0732 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Post nurse staffing information every day. | C |