| 2025-07-02 | F0600, F0610 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Respond appropriately to all alleged violations. | D |
| 2025-04-16 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F |
| 2025-04-16 | F0550, F0623, F0641, F0655, F0758, F0883 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | E |
| 2025-04-16 | F0637, F0656, F0689, F0700, F0757 | Assess the resident when there is 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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 each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2024-04-10 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-03-07 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-03-07 | F0607, F0610, F0657, F0677, F0880 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Respond appropriately to all alleged violations. / 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 and implement an infection prevention and control program. | E |
| 2024-03-07 | F0580, F0600, F0726 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D |
| 2023-12-07 | F0838 | 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. | F |
| 2023-12-07 | F0638, F0695, F0758, F0761, F0772, F0880, F0881 | Assure that each resident’s assessment is updated at least once every 3 months. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / 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. / Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | E |
| 2023-12-07 | F0558, F0636, F0637, F0645, F0693, F0755, F0756, F0759 | Reasonably accommodate the needs and preferences of each resident. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assess the resident when there is a significant change in condition / PASARR screening for Mental disorders or Intellectual Disabilities / 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. | D |
| 2023-10-09 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | F |
| 2023-10-09 | F0578 | 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. | D |
| 2023-10-04 | F0677, F0880 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide and implement an infection prevention and control program. | E |
| 2022-10-21 | F0578, F0582, F0584, F0644, F0655, F0760 | 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Ensure that residents are free from significant medication errors. | E |
| 2022-10-21 | F0656, F0686, F0689, F0692 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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 enough food/fluids to maintain a resident's health. | D |