| 2025-09-30 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-09-30 | F0573, F0585, F0656, F0677, F0679, F0689, F0695, F0755, F0761, F0925, F0926 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / 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 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. / 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. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. / Have policies on smoking. | D |
| 2024-12-31 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-10-09 | F0755, F0880, F0925 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2024-09-18 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | L |
| 2024-09-18 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K |
| 2024-09-18 | F0835, F0837, F0838, F0841, F0865, F0880 | 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. / 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. / 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. / Provide and implement an infection prevention and control program. | F |
| 2024-09-18 | F0610, F0677, F0689 | Respond appropriately to all alleged violations. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2024-09-18 | F0550, F0558, F0580, F0622, F0623, F0624, F0641, F0646, F0656, F0657, F0684, F0690, F0710, F0745, F0773, F0791, F0807, F0842, F0883, F0921, F0925 | 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Prepare residents for a safe transfer or discharge from the nursing home. / Ensure each resident receives an accurate assessment. / Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. / 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. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / 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. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2024-09-18 | F0712, F0732 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Post nurse staffing information every day. | C |
| 2024-07-11 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-07-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-02-28 | 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. | D |
| 2024-01-17 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2022-10-13 | F0623, F0655, F0689, F0812 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2022-10-13 | F0625, F0645, F0677, F0914, F0919 | 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 / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide bedrooms that don't allow residents to see each other when privacy is needed. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |