| 2026-05-06 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2025-12-09 | F0755, F0760 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. | E |
| 2025-12-09 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-09-13 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2025-09-13 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-09-13 | F0677, F0689, F0842, F0887 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / 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. | E |
| 2025-09-13 | F0554, F0582, F0585, F0600, F0636, F0637, F0641, F0656, F0657, F0679, F0684, F0694, F0695, F0725, F0761, F0880, F0883 | Allow residents to self-administer drugs if determined clinically appropriate. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assess the resident when there is a significant change in condition / Ensure each resident receives an accurate assessment. / 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 activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2025-09-13 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | C |
| 2025-09-13 | F0628, F0638, F0640, F0732 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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. / Post nurse staffing information every day. | B |
| 2025-05-30 | F0686, F0777 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D |
| 2025-01-09 | F0580, F0600, F0684, F0714 | 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 all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure the physician properly assigns and delegates tasks to a physician assistant, nurse practitioner or clinical nurse specialist. | J |
| 2025-01-09 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2025-01-09 | F0609, F0842 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-11-01 | F0880 | Provide and implement an infection prevention and control program. | K |
| 2024-11-01 | 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 |
| 2024-11-01 | F0727, F0760 | 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 that residents are free from significant medication errors. | E |
| 2024-11-01 | F0554, F0637, F0641, F0688, F0695, F0842 | Allow residents to self-administer drugs if determined clinically appropriate. / Assess the resident when there is a significant change in condition / Ensure each resident receives an accurate assessment. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Provide safe and appropriate respiratory care for a resident when needed. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-11-01 | F0584, F0585 | 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. | B |
| 2023-09-07 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-05-25 | F0809, F0812, F0867 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2023-05-25 | F0584, 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2023-05-25 | F0550, F0553, F0578, F0641, F0655, F0657, F0686, F0688, F0758, F0761, F0791 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Allow resident to participate in the development and implementation of his or her person-centered plan of care. / 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. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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 pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / 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. / Provide or obtain dental services for each resident. | D |