| 2026-05-06 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | F |
| 2026-05-06 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2026-02-26 | F0610, F0689 | Respond appropriately to all alleged violations. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| 2026-02-26 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2026-02-26 | F0835, F0926, F0947 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. / Have policies on smoking. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F |
| 2026-02-26 | F0600, F0851 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | D |
| 2025-08-11 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-01-31 | F0584, F0623, F0625, F0657, F0803, F0842, F0880 | 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 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / 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. | E |
| 2025-01-31 | F0550, F0552, F0578, F0610, F0641, F0645, F0658, F0677, F0684, F0689, F0692, F0693, F0759 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / 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. / 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. / Ensure medication error rates are not 5 percent or greater. | D |
| 2024-08-29 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2024-07-31 | F0677, F0684 | 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. | D |
| 2024-05-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| 2024-05-02 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F |
| 2024-05-02 | F0584, F0677, F0880 | 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 and implement an infection prevention and control program. | E |
| 2024-02-14 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2024-02-14 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E |
| 2023-11-08 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2023-09-28 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H |
| 2023-09-28 | F0693 | 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. | G |
| 2023-09-28 | F0800, F0801, F0803, F0812, F0881 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. / Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Implement a program that monitors antibiotic use. | F |
| 2023-09-28 | F0565, F0584, F0610, F0623, F0636, F0638, F0641, F0642, F0645, F0656, F0657, F0658, F0677, F0684, F0692, F0758, F0759, F0804, F0880 | 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. / Respond appropriately to all alleged violations. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure each resident receives an accurate assessment. / Ensure a qualified health professional conducts resident assessments. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / 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 enough food/fluids to maintain a resident's health. / 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 medication error rates are not 5 percent or greater. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. | E |
| 2023-09-28 | F0550, F0552, F0561, F0578, F0609, F0625, F0655, F0679, F0685, F0689, F0690, F0698, F0761, F0770, F0842, F0883, F0887, F0908 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Ensure that residents are fully informed and understand their health status, care and treatments. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide activities to meet all resident's needs. / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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 dialysis care/services for a resident who requires such services. / 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. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Develop and implement policies and procedures for flu and pneumonia vaccinations. / 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. / Keep all essential equipment working safely. | D |
| 2022-01-12 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G |
| 2022-01-12 | F0561, F0578, F0582, F0623, F0625, F0636, F0641, F0644, F0645, F0657, F0658, F0677, F0685, F0688, F0692, F0693, F0695, F0698, F0727, F0758, F0842, F0880, F0943 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / 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. / 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. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Ensure each resident receives an accurate assessment. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Assist a resident in gaining access to vision and hearing services. / 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 enough food/fluids to maintain a resident's health. / 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 safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / 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. / 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. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E |
| 2022-01-12 | F0585, F0610, F0640, F0655, F0684, F0686, F0689, F0745, F0756, F0757, F0759, F0761, F0791, F0849, F0883 | 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. / Respond appropriately to all alleged violations. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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 medically-related social services to help each resident achieve the highest possible quality of life. / Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Ensure medication error rates are not 5 percent or greater. / 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. / Provide or obtain dental services for each resident. / Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |