| 2025-12-11 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2025-12-11 | F0686, F0755, F0842 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-09-04 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2025-09-04 | F0657, F0677, F0803 | 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. / 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. | E |
| 2025-09-04 | F0578, F0655, F0658, F0684, F0689, F0698 | 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure services provided by the nursing facility meet professional standards of quality. / 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 safe, appropriate dialysis care/services for a resident who requires such services. | D |
| 2025-04-16 | F0680 | Ensure the activities program is directed by a qualified professional. | C |
| 2025-01-28 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2024-03-11 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | L |
| 2024-03-11 | F0727, F0732, F0837, F0851, 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. / Post nurse staffing information every day. / 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. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. / Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| 2024-03-11 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-01-09 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2023-11-15 | F0600, F0837, F0865 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / 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. / Have a plan that describes the process for conducting QAPI and QAA activities. | F |
| 2023-02-16 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F |
| 2023-02-16 | F0758 | 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. | E |
| 2023-02-16 | F0569, F0661, F0677, F0686, F0689, F0690, F0803, F0842, F0883 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / 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 pressure ulcer care and prevent new ulcers from developing. / 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. / 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. / 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. | D |
| 2023-02-16 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C |
| 2021-04-27 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2021-04-27 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F |
| 2021-04-27 | F0565, F0570, F0725, F0880, F0886 | Honor the resident's right to organize and participate in resident/family groups in the facility. / Assure the security of all personal funds of residents deposited with the facility. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program. / Perform COVID19 testing on residents and staff. | E |
| 2021-04-27 | F0550, F0584, F0677, F0679, F0686, F0689 | 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2021-04-27 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | C |