| 2026-07-01 | F0801, F0812, F0880 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | F |
| 2026-07-01 | F0579, F0580, F0755, F0760 | Provide information about how to apply for and use Medicare and Medicaid benefits. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure that residents are free from significant medication errors. | D |
| 2026-01-27 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2026-01-27 | F0851, F0880 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. / Provide and implement an infection prevention and control program. | F |
| 2026-01-27 | F0887 | 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. | E |
| 2026-01-27 | F0554, F0584, F0605, F0628, F0688, F0689, F0698, F0740, F0883 | Allow residents to self-administer drugs if determined clinically appropriate. / 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / 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, appropriate dialysis care/services for a resident who requires such services. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2025-12-03 | F0609, F0610, F0640, F0693 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / 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. | D |
| 2025-08-12 | F0554, F0627, F0628, F0656, F0759, F0760 | Allow residents to self-administer drugs if determined clinically appropriate. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure medication error rates are not 5 percent or greater. / Ensure that residents are free from significant medication errors. | D |
| 2025-03-19 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2025-03-19 | F0684, F0690 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2025-01-08 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2025-01-08 | F0689, F0700 | 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. | D |
| 2024-10-08 | F0727, F0838, F0880 | 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. / 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. / Provide and implement an infection prevention and control program. | F |
| 2024-10-08 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2024-10-08 | F0578, F0698, F0700 | 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. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. | D |
| 2024-07-25 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | F |
| 2024-07-18 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K |
| 2024-07-18 | F0684, F0686 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-07-18 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F |
| 2024-07-18 | F0554, F0576, F0585, F0609, F0610, F0676, F0689, F0695, F0760, F0842 | Allow residents to self-administer drugs if determined clinically appropriate. / Ensure residents have reasonable access to and privacy in their use of communication methods. / 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. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure residents do not lose the ability to perform activities of daily living unless there is 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. / Ensure that residents are free from significant medication errors. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-04-09 | F0684, F0757 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2024-01-17 | F0656, F0684, F0690 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| 2024-01-06 | F0689, F0842 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-06-19 | F0684, F0686, F0689, F0745 | 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. | G |
| 2023-06-19 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2023-06-19 | F0578, F0580, F0623, F0644, F0655, F0656, F0660, F0677, F0690, F0695, F0697, F0698, F0700, F0755, F0758 | 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. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / 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. / 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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. / Provide safe, appropriate pain management for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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 pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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 |