| 2026-03-05 | 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 |
| 2026-03-05 | F0656, F0679, F0925 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide activities to meet all resident's needs. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2026-03-05 | F0655, F0684, F0685, F0690, F0692, F0699, F0755, F0757, F0773, F0791, F0881 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / 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. / Provide care or services that was trauma informed and/or culturally competent. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Provide or obtain dental services for each resident. / Implement a program that monitors antibiotic use. | D |
| 2026-02-02 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | J |
| 2026-02-02 | F0584 | 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. | F |
| 2025-12-15 | F0604, F0609, F0760 | 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. / Ensure that residents are free from significant medication errors. | D |
| 2025-11-26 | F0607, F0609, F0610, F0628 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / 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. | D |
| 2025-10-28 | 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. | D |
| 2025-10-15 | F0600, F0684 | 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. | J |
| 2025-10-15 | F0687, F0692 | Provide appropriate foot care. / Provide enough food/fluids to maintain a resident's health. | G |
| 2025-10-15 | F0727, F0835, F0837, F0841, F0865 | 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. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / 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. / Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. / Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| 2025-10-15 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-10-15 | F0565, F0580, F0602, F0605, F0609, F0610, F0677, F0698, F0740, F0760 | Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Ensure that residents are free from significant medication errors. | D |
| 2025-08-15 | F0580, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2025-07-02 | F0578, F0842, F0849 | 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D |
| 2025-06-12 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2025-05-19 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D |
| 2025-04-29 | F0609, F0610, F0744 | 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 appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D |
| 2024-07-08 | F0692 | Provide enough food/fluids to maintain a resident's health. | J |
| 2024-07-08 | F0712, F0880 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Provide and implement an infection prevention and control program. | E |
| 2024-07-08 | F0550, F0557, F0580, F0585, F0677, F0684, F0689, F0690, F0745, F0757, F0761, F0842, F0849, F0881 | 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 be treated with respect and dignity and to retain and use personal possessions. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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 medically-related social services to help each resident achieve the highest possible quality of life. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Implement a program that monitors antibiotic use. | D |
| 2024-04-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-04-02 | F0580, F0677, F0690 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2024-02-26 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2023-11-08 | F0610 | Respond appropriately to all alleged violations. | E |
| 2023-11-08 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D |
| 2022-04-25 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2022-04-25 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2022-04-25 | F0569, F0582, F0622, F0623, F0625, F0636, F0644, F0646, F0661, F0677, F0684, F0686, F0692, F0745, F0756, F0758, F0759, F0773, F0881, F0888 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / 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. / 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. / Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / 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 pressure ulcer care and prevent new ulcers from developing. / Provide enough food/fluids to maintain a resident's health. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Implement a program that monitors antibiotic use. / Ensure staff are vaccinated for COVID-19 | D |