| 2026-06-29 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E |
| 2026-04-16 | F0636, F0637, F0638, F0641, F0689, F0700, F0732, F0755, F0757, F0761, F0880 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assess the resident when there is a significant change in condition / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure each resident receives an accurate assessment. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. / 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 each resident’s drug regimen must be free from unnecessary drugs. / 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 and implement an infection prevention and control program. | E |
| 2026-04-16 | F0554, F0640, F0644, F0645, F0646, F0656, F0657, F0679, F0684, F0695, F0698, F0812, F0883 | Allow residents to self-administer drugs if determined clinically appropriate. / Encode each resident’s assessment data and transmit these data to the State within 7 days of 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 / Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. / 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. / Provide activities to meet all resident's needs. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2026-03-25 | F0610 | Respond appropriately to all alleged violations. | E |
| 2026-03-25 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-12-31 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-11-14 | F0628, F0678 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | E |
| 2025-05-08 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-04-21 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2025-03-28 | F0610, F0657, F0880 | Respond appropriately to all alleged violations. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide and implement an infection prevention and control program. | D |
| 2025-01-08 | F0607, F0730, F0761, F0803, F0880 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Observe each nurse aide's job performance and give regular training. / 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 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. / Provide and implement an infection prevention and control program. | E |
| 2025-01-08 | F0585, F0610, F0641, F0645, F0656, F0657, F0658, F0660, F0677, F0684, F0688, F0689, F0695 | 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. / Ensure each resident receives an accurate assessment. / 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. / Plan the resident's discharge to meet the resident's goals and needs. / 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 a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2025-01-08 | F0838 | 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. | C |
| 2025-01-06 | F0804, F0908 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Keep all essential equipment working safely. | E |
| 2024-02-28 | F0791 | Provide or obtain dental services for each resident. | D |
| 2023-10-23 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D |
| 2023-09-13 | F0801 | 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. | F |
| 2023-09-13 | F0585, F0804 | 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 food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2023-09-13 | F0584, F0623, F0625, F0636, F0637, F0640, F0641, F0655, F0656, F0657, F0677, F0684, F0689, F0692 | 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. / Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Assess the resident when there is a significant change in condition / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure each resident receives an accurate assessment. / 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. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. | D |