| 2025-12-04 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2025-12-04 | F0580, F0628, F0684, F0688, F0755, F0756, F0842, F0880 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2025-12-04 | F0887 | 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. | C |
| 2022-09-22 | F0580, F0623, F0625, F0692 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Provide enough food/fluids to maintain a resident's health. | D |
| 2019-10-03 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F |
| 2019-10-03 | F0585, F0689 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2019-10-03 | F0657, F0744, F0758 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / 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 |