| 2026-06-05 | F0585, F0880 | 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 and implement an infection prevention and control program. | D |
| 2025-12-03 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2025-11-25 | F0760 | Ensure that residents are free from significant medication errors. | G |
| 2025-06-23 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J |
| 2025-06-23 | F0812, F0851 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F |
| 2025-06-23 | F0550, F0600, F0605, F0689, F0740, F0756, F0757, F0805, F0810, F0880, F0883, F0887 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / 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 each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Provide special eating equipment and utensils for residents who need them and appropriate assistance. / Provide and implement an infection prevention and control program. / 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. | D |
| 2025-04-14 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2025-04-14 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2025-04-14 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2025-04-14 | F0607, F0609, F0712 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Ensure that the resident and his/her doctor meet face-to-face at all required visits. | D |
| 2024-12-03 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-12-03 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2024-12-03 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E |
| 2024-12-03 | F0610, F0758 | Respond appropriately to all alleged violations. / 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 |
| 2024-11-18 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2024-03-27 | F0580, F0689, F0849 | 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. / 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. | J |
| 2024-03-27 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-03-27 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-03-27 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E |
| 2024-03-27 | F0609, F0656, F0690, F0700, F0725, F0758 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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 enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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 |
| 2024-03-27 | F0575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C |
| 2023-12-08 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| 2023-12-08 | F0610 | Respond appropriately to all alleged violations. | D |
| 2023-10-27 | F0554, F0695, F0880 | Allow residents to self-administer drugs if determined clinically appropriate. / Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | D |
| 2022-12-05 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2022-12-05 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2022-12-05 | F0609, F0610, F0623, F0645, F0689, F0757 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |