| 2025-11-20 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2025-11-20 | F0584, F0775, F0804, 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. / Keep complete, dated laboratory records in the resident's record. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / 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 |
| 2025-11-20 | F0600, F0609, F0628, F0692, F0770, F0773, F0805 | 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. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide enough food/fluids to maintain a resident's health. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D |
| 2024-10-24 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-02-22 | F0689, F0726 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. | J |
| 2024-02-22 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | H |
| 2024-02-22 | F0578, F0624, F0690, F0697, F0740 | 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. / Prepare residents for a safe transfer or discharge from the nursing home. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G |
| 2024-02-22 | F0565, F0584, F0600, F0607, F0609, F0610, F0644, F0676, F0725, F0728, F0758, F0761, F0804, F0812, F0880, F0881, F0923, F0947 | Honor the resident's right to organize and participate in resident/family groups in the facility. / 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. / Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. / 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. / 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. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. / Have enough outside ventilation via a window or mechanical ventilation, or both. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2024-02-22 | F0550, F0558, F0580, F0657, F0660, F0679, F0687, F0692, F0694, F0695, F0745, F0757, F0760, F0770, F0908, F0919 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Plan the resident's discharge to meet the resident's goals and needs. / Provide activities to meet all resident's needs. / Provide appropriate foot care. / Provide enough food/fluids to maintain a resident's health. / 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. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure that residents are free from significant medication errors. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Keep all essential equipment working safely. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2022-05-25 | F0609, F0610 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. | E |
| 2022-05-25 | F0600, F0755 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |