| 2026-06-05 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | C |
| 2025-07-30 | F0567, F0576, F0725, F0726, F0761, F0803, F0804, F0806, F0842, F0865, F0925 | Honor the resident's right to manage his or her financial affairs. / Ensure residents have reasonable access to and privacy in their use of communication methods. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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 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. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have a plan that describes the process for conducting QAPI and QAA activities. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2025-07-30 | F0585, F0656, F0677, F0679, F0759 | 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Ensure medication error rates are not 5 percent or greater. | E |
| 2025-07-30 | F0554, F0557, F0577, F0655, F0657, F0675, F0684, F0688, F0689, F0698, F0732 | Allow residents to self-administer drugs if determined clinically appropriate. / Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / 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. / Honor each resident's preferences, choices, values and beliefs. / 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. / Post nurse staffing information every day. | D |
| 2025-07-14 | F0842, F0895 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Have a Compliance and Ethics Program. | F |
| 2025-07-14 | F0880, F0940 | Provide and implement an infection prevention and control program. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D |
| 2024-05-23 | F0837, F0867 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2024-05-23 | F0550, F0584, F0585, F0656, F0726, F0756, F0761, F0812 | 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 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 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. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-05-23 | F0561, F0578, F0637, F0655, F0657, F0684, F0689, F0710, F0757, F0814, F0880 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Assess the resident when there is a significant change in condition / 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 treatment and care according to orders, resident’s preferences and goals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Dispose of garbage and refuse properly. / Provide and implement an infection prevention and control program. | D |
| 2024-05-01 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| 2024-05-01 | F0725, F0838, F0925 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2024-05-01 | F0550, F0584, F0600, F0677, F0684, F0692, 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / 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 enough food/fluids to maintain a resident's health. / Provide and implement an infection prevention and control program. | E |
| 2024-05-01 | F0554, F0609, F0610 | Allow residents to self-administer drugs if determined clinically appropriate. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | D |
| 2023-05-10 | F0584, F0623, F0625, F0804, F0812, F0924 | 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Put firmly secured handrails on each side of hallways. | E |
| 2023-05-10 | F0880 | Provide and implement an infection prevention and control program. | D |