| 2026-04-22 | F0730, F0761, F0851 | Observe each nurse aide's job performance and give regular training. / 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. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F |
| 2026-04-22 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-04-22 | F0605, F0628, F0641, F0655, F0656, F0657, F0684 | 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. / 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 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 treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-05-19 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-05-19 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D |
| 2025-02-10 | F0812, F0947 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F |
| 2025-02-10 | F0923 | Have enough outside ventilation via a window or mechanical ventilation, or both. | E |
| 2025-02-10 | F0636, F0641, F0757, F0758, F0759, F0761 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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 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. | D |
| 2024-03-05 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2024-02-29 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2024-02-29 | F0609, F0623, F0625, F0661 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D |