| 2026-03-05 | F0607, F0835, F0865 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Have a plan that describes the process for conducting QAPI and QAA activities. | L |
| 2026-03-05 | F0602, F0755 | Protect each resident from the wrongful use of the resident's belongings or money. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | K |
| 2026-03-05 | F0727, F0812, F0837, F0925 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2026-03-05 | F0640, F0759 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure medication error rates are not 5 percent or greater. | E |
| 2026-03-05 | F0628, F0641, F0756, F0761 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Ensure each resident receives an accurate assessment. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / 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. | D |
| 2025-11-18 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E |
| 2025-11-18 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-09-10 | F0600, F0678, F0742 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | J |
| 2025-09-10 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D |
| 2025-06-18 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2025-05-13 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J |
| 2025-05-13 | F0607, F0610 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. | D |
| 2025-04-21 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| 2025-04-21 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2025-04-21 | F0569, F0584, F0600, F0761, F0919 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / 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. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / 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 that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-12-12 | F0755, F0761 | 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. | E |
| 2024-12-12 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2024-11-15 | F0679, F0689 | 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. | E |
| 2024-11-15 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-10-31 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-10-31 | F0610, F0641, F0656 | Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-10-03 | F0727, F0880 | 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. / Provide and implement an infection prevention and control program. | F |
| 2024-10-03 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | E |
| 2024-10-03 | F0561, F0677 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-06-13 | F0610 | Respond appropriately to all alleged violations. | E |
| 2024-06-13 | F0600, F0609 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-05-23 | F0812, F0925 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F |
| 2024-05-23 | F0684, F0804, F0814 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Dispose of garbage and refuse properly. | E |
| 2024-05-23 | F0803 | 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. | D |
| 2024-01-31 | F0677, F0804 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2024-01-31 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-09-20 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-09-20 | F0550, F0730, F0802, F0804, F0809, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Observe each nurse aide's job performance and give regular training. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / 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. / Provide and implement an infection prevention and control program. | E |
| 2023-09-20 | F0644, F0645, F0689, F0756, F0758 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. | D |
| 2023-08-08 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2023-08-08 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |