| 2025-11-25 | F0628, F0656, F0698, F0812 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| 2025-01-28 | 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. | D |
| 2024-07-19 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | G |
| 2024-04-11 | F0578, F0602, F0656, F0677, F0684, F0690, F0693, F0725, F0732, F0755, F0756, F0758, F0804, F0812, F0814, F0880, F0882, F0883, F0908 | 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. / Protect each resident from the wrongful use of the resident's belongings or money. / 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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 enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Post nurse staffing information every day. / 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. / 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 food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Dispose of garbage and refuse properly. / Provide and implement an infection prevention and control program. / Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Keep all essential equipment working safely. | E |
| 2024-04-11 | F0550, F0657, F0689, F0730, F0770, F0881 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Observe each nurse aide's job performance and give regular training. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Implement a program that monitors antibiotic use. | D |
| 2024-03-19 | F0584, F0698 | 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 safe, appropriate dialysis care/services for a resident who requires such services. | E |
| 2024-03-19 | F0553, F0558, F0580, F0686 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / 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. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2024-02-08 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2024-02-08 | F0609, F0610, F0622, F0623, F0625, F0626 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / 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. / 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. / Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | D |
| 2023-02-27 | 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. | J |
| 2023-02-27 | F0580, F0582, F0584, F0677, F0686, F0727, F0755, F0835, F0880, F0883, F0888 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / 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. / 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / Ensure staff are vaccinated for COVID-19 | E |
| 2023-02-27 | F0655, F0656, F0684, F0698, F0756, F0758, F0838, F0840, F0842, F0887 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / 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. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / 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. | D |