| 2025-12-31 | F0880 | Provide and implement an infection prevention and control program. | J |
| 2025-12-31 | F0686, F0690 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G |
| 2025-12-31 | F0814, F0882, F0921, F0942 | Dispose of garbage and refuse properly. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | F |
| 2025-12-31 | F0584, F0692, F0698, F0761, F0803, F0812, F0883, F0887 | 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 enough food/fluids to maintain a resident's health. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E |
| 2025-12-31 | F0558, F0578, F0580, F0656, F0677, F0684, F0694, F0695, F0712, F0760, F0773, F0791, F0806, F0842 | Reasonably accommodate the needs and preferences of each resident. / 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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 appropriate treatment and care according to orders, resident’s preferences and goals. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. / Ensure that residents are free from significant medication errors. / 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 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. | D |
| 2024-10-07 | F0690, F0759, F0880 | 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 medication error rates are not 5 percent or greater. / Provide and implement an infection prevention and control program. | D |
| 2024-07-18 | F0580, F0656, F0756 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D |
| 2024-05-01 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-04-11 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-04-11 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-04-11 | F0553, F0567, F0584, F0657, F0881 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Honor the resident's right to manage his or her financial affairs. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Implement a program that monitors antibiotic use. | E |
| 2024-04-11 | F0550, F0569, F0655, F0677, F0685, F0695, F0740, F0770, F0883 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2022-04-21 | F0689, F0761 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. | E |
| 2022-04-21 | F0580, F0641, F0657, F0676, F0684, F0880, F0883 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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 and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |