| 2026-06-23 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2026-06-09 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E |
| 2026-05-29 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E |
| 2026-05-29 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2026-04-15 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2026-03-31 | F0580, F0585, F0684, F0745 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide medically-related social services to help each resident achieve the highest possible quality of life. | D |
| 2026-03-04 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| 2026-03-04 | F0610, F0755 | Respond appropriately to all alleged violations. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-11-18 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2025-11-18 | F0550, F0567, F0568, F0569, F0584, F0585, F0605, F0641, F0655, F0657, F0684, F0692, F0742, F0757, F0804, F0812, F0825, F0842, F0880, F0881, F0908 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Honor the resident's right to manage his or her financial affairs. / Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. / Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. / 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. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide enough food/fluids to maintain a resident's health. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. / Ensure each resident’s drug regimen must be free from unnecessary 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 or get specialized rehabilitative services as required for a 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. / Implement a program that monitors antibiotic use. / Keep all essential equipment working safely. | E |
| 2025-11-18 | F0609, F0610, F0658, F0677, F0679, F0700, F0865 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / 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 activities to meet all resident's needs. / 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. / Have a plan that describes the process for conducting QAPI and QAA activities. | D |
| 2025-09-05 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2025-05-01 | F0760 | Ensure that residents are free from significant medication errors. | E |
| 2025-05-01 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-03-07 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D |
| 2025-02-20 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D |
| 2024-11-19 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E |
| 2024-11-19 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2024-10-01 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-09-06 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2024-09-06 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2024-08-20 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2024-07-17 | F0584 | 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. | E |
| 2024-07-13 | F0577, F0609, F0660, F0684, F0695, F0761, F0812, F0850, F0868 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Plan the resident's discharge to meet the resident's goals and 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. / 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Hire a qualified full-time social worker in a facility with more than 120 beds. / Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E |
| 2024-07-13 | F0552, F0585, F0644, F0657, F0658, F0677, F0687, F0692, F0700, F0744, F0758 | Ensure that residents are fully informed and understand their health status, care and treatments. / 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / 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 foot care. / Provide enough food/fluids to maintain a resident's health. / 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. / 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 |
| 2024-07-01 | F0677, F0686, F0880 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide and implement an infection prevention and control program. | D |
| 2024-05-07 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E |
| 2024-05-07 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-03-07 | F0580, F0689, F0840 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | D |
| 2024-01-25 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-01-04 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | J |
| 2023-12-14 | F0692 | Provide enough food/fluids to maintain a resident's health. | G |
| 2023-12-06 | F0880 | Provide and implement an infection prevention and control program. | L |
| 2023-12-06 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F |
| 2023-12-06 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-11-17 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2023-11-17 | F0604, F0686 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2023-09-27 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-09-08 | F0570, F0578, F0584, F0585, F0677, F0695, F0812 | Assure the security of all personal funds of residents deposited with the facility. / 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. / 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. / 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide safe and appropriate respiratory care for a resident when needed. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-09-08 | F0582, F0656, F0658, F0689, F0690, F0693, F0810, F0880, F0919 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / 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. / 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 special eating equipment and utensils for residents who need them and appropriate assistance. / Provide and implement an infection prevention and control program. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |