| 2026-03-12 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G |
| 2026-03-12 | 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. | F |
| 2026-03-12 | F0627, F0656, F0657, F0699 | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / 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 or services that was trauma informed and/or culturally competent. | E |
| 2026-03-12 | F0578, F0582, F0585, F0605, F0628, F0655, F0689, F0745 | 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. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide medically-related social services to help each resident achieve the highest possible quality of life. | D |
| 2025-10-22 | F0692, F0726 | Provide enough food/fluids to maintain a resident's health. / 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. | G |
| 2025-10-22 | F0550, F0675, F0919 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor each resident's preferences, choices, values and beliefs. / Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2025-10-22 | F0584, F0677, F0686, F0689, F0791, F0887 | 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 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. / Provide or obtain dental services for each resident. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D |
| 2025-09-09 | F0609, F0610, F0657 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2025-03-13 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F |
| 2025-03-13 | F0658, F0880, F0883 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2025-03-13 | F0550, F0554, F0578, F0584, F0585, F0657, F0677, F0693, F0759, F0760 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow residents to self-administer drugs if determined clinically appropriate. / 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. / 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. / 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. / 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 medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. | D |
| 2025-01-23 | 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 |
| 2025-01-23 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G |
| 2025-01-23 | F0838, F0940, F0945 | 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. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | F |
| 2025-01-23 | F0658, F0760, F0880 | Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program. | E |
| 2025-01-23 | F0690 | 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 |
| 2024-11-20 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F |
| 2024-11-20 | F0623, F0638, F0640, F0867, F0926 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Assure that each resident’s assessment is updated at least once every 3 months. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Have policies on smoking. | E |
| 2024-11-20 | F0552, F0641, F0660, F0740 | Ensure that residents are fully informed and understand their health status, care and treatments. / Ensure each resident receives an accurate assessment. / Plan the resident's discharge to meet the resident's goals and needs. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2024-10-23 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-10-23 | F0610 | Respond appropriately to all alleged violations. | E |
| 2024-10-23 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-05-08 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2024-03-14 | F0801, F0880 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Provide and implement an infection prevention and control program. | F |
| 2024-03-14 | F0584, F0695, F0881 | 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 safe and appropriate respiratory care for a resident when needed. / Implement a program that monitors antibiotic use. | E |
| 2024-03-14 | F0550, F0585, F0641, F0658, F0758 | 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Ensure each resident receives an accurate assessment. / 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. | D |
| 2023-08-29 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E |
| 2023-08-29 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D |