| 2025-08-01 | F0835, F0867 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2025-08-01 | F0552, F0554, F0578, F0583, F0585, F0761, F0880, F0883 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Keep residents' personal and medical records private and confidential. / 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 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. | E |
| 2025-08-01 | F0550, F0558, F0605, F0636, F0644, F0645, F0656, F0658, F0676, F0677, F0684, F0688, F0689, F0698, F0699, F0791 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Provide care or services that was trauma informed and/or culturally competent. / Provide or obtain dental services for each resident. | D |
| 2025-04-10 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-04-10 | F0563, F0622, F0657, F0686, F0760, F0880 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. / Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. / 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. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program. | D |
| 2024-10-18 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F |
| 2024-10-18 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| 2024-08-22 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2024-08-22 | F0582, F0838, F0908 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Keep all essential equipment working safely. | F |
| 2024-08-22 | F0565, F0578, F0759 | Honor the resident's right to organize and participate in resident/family groups in the facility. / 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 medication error rates are not 5 percent or greater. | E |
| 2024-08-22 | F0550, F0568, F0584, F0623, F0625, F0645, F0657, F0726, F0755, F0761, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. / PASARR screening for Mental disorders or Intellectual Disabilities / 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 nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. | D |
| 2024-07-31 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-07-31 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2024-04-17 | F0557, F0880 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Provide and implement an infection prevention and control program. | E |
| 2023-10-13 | F0658, F0725, F0867 | 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2023-10-13 | 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. | D |
| 2023-09-21 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | F |
| 2023-09-21 | F0567, F0568, F0569 | Honor the resident's right to manage his or her financial affairs. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D |
| 2023-07-13 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2023-07-13 | F0558, F0565, F0572, F0573, F0574, F0577, F0582, F0679, F0680 | Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to organize and participate in resident/family groups in the facility. / Give residents a notice of rights, rules, services and charges. / Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / The resident has the right to receive notices in a format and a language he or she understands. / Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide activities to meet all resident's needs. / Ensure the activities program is directed by a qualified professional. | E |
| 2023-07-13 | F0550, F0578, F0645, F0656, F0695, F0740, F0880 | 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. / PASARR screening for Mental disorders or Intellectual Disabilities / 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. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide and implement an infection prevention and control program. | D |