| 2025-12-03 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-12-03 | F0656, F0761, F0842, F0880 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / 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 |
| 2025-02-07 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-02-07 | F0804, F0865 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Have a plan that describes the process for conducting QAPI and QAA activities. | G |
| 2025-02-07 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F |
| 2025-02-07 | F0577, F0835 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E |
| 2025-02-07 | F0557, F0732, F0941, F0949 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. / Post nurse staffing information every day. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D |
| 2023-11-15 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E |
| 2023-11-15 | F0641, F0695, F0880, F0883 | Ensure each resident receives an accurate assessment. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2022-03-10 | F0658, F0686, F0758, F0812 | Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2022-03-10 | F0582, F0761, F0883 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |