| 2025-12-31 | F0655, F0677 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2025-12-04 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2025-12-04 | F0585, F0658, F0725 | 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 services provided by the nursing facility meet professional standards of quality. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2025-12-04 | F0559, F0609, F0684 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-09-11 | F0686, F0689, F0697 | 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 safe, appropriate pain management for a resident who requires such services. | G |
| 2025-09-11 | F0725, F0727, F0880, F0881 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | F |
| 2025-09-11 | F0640, F0726, F0759, F0761 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / 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 medication error rates are not 5 percent or greater. / 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. | E |
| 2025-09-11 | F0550, F0609, F0610, F0628, F0657, F0690, F0692, F0757, F0790 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / 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. / 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. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide routine and 24-hour emergency dental care for each resident. | D |
| 2025-08-06 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-08-06 | F0610, F0940 | Respond appropriately to all alleged violations. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E |
| 2025-08-06 | F0656, F0726 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. | D |
| 2024-10-03 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F |
| 2024-10-03 | F0726 | 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. | E |
| 2024-10-03 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-08-15 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-08-15 | F0725, F0812, F0880 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | F |
| 2024-08-15 | F0578, F0657, F0689, F0692, F0756, F0759, F0882, F0919 | 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide enough food/fluids to maintain a resident's health. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-05-02 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2024-05-02 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G |
| 2024-05-02 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E |
| 2024-02-22 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2024-01-16 | F0550, F0585 | 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. | D |
| 2023-08-17 | F0600, F0692, F0695 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide enough food/fluids to maintain a resident's health. / Provide safe and appropriate respiratory care for a resident when needed. | G |
| 2023-08-17 | 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 |
| 2023-08-17 | F0554, F0655, F0759, F0880 | Allow residents to self-administer drugs if determined clinically appropriate. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program. | E |
| 2023-08-17 | F0550, F0580, F0602, F0604, F0609, F0656, F0657, F0690, F0725, F0758, F0805, F0883, F0887 | 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. / Protect each resident from the wrongful use of the resident's belongings or money. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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 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 nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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 each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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 |