| 2026-02-24 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2026-02-24 | F0584, F0880 | 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 and implement an infection prevention and control program. | E |
| 2025-07-01 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2025-07-01 | F0676, F0684, F0698, F0756, F0759, F0842 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure medication error rates are not 5 percent or greater. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-03-20 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-12-09 | F0585, F0677, F0835 | 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. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D |
| 2024-11-22 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2024-11-22 | F0585, F0606, F0802, F0803, F0809 | 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. / Not hire anyone with a finding of abuse, neglect, exploitation, or theft. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / 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 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. | F |
| 2024-11-22 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E |
| 2024-11-22 | F0550, F0610, F0626, F0684, F0755 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Respond appropriately to all alleged violations. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-10-24 | F0689, F0807 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D |
| 2024-09-06 | F0725, F0727, F0804 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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 food and drink is palatable, attractive, and at a safe and appetizing temperature. | F |
| 2024-09-06 | F0557, F0602, F0609, F0610, F0622, F0623, F0625, F0644, F0689, F0755, F0800, F0807, F0842, F0919 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Protect each resident from the wrongful use of the resident's belongings or money. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-05-21 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-05-21 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F |
| 2024-05-21 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-05-21 | F0580, F0644, F0656, F0657, F0677, F0692, F0693, F0695, F0700, F0761, F0791, F0810, F0842 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / 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 care and assistance to perform activities of daily living for any resident who is unable. / Provide enough food/fluids to maintain a resident's health. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Provide safe and appropriate respiratory care for a resident when needed. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / 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. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-04-12 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-04-12 | F0677, F0759, F0760, F0835 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D |
| 2024-03-22 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-03-04 | F0684, F0698, F0759, F0835, F0842, F0880 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure medication error rates are not 5 percent or greater. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2024-02-01 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2023-09-29 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2022-08-16 | F0761, F0867, F0885 | 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. / Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Report COVID19 data to residents and families. | F |
| 2022-08-16 | F0641 | Ensure each resident receives an accurate assessment. | E |
| 2022-08-16 | F0558, F0580, F0582, F0623, F0645, F0685, F0689, F0695, F0757, F0791, F0805, F0921 | Reasonably accommodate the needs and preferences of each resident. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / PASARR screening for Mental disorders or Intellectual Disabilities / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide or obtain dental services for each resident. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |