| 2025-07-24 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-07-24 | F0941, F0942, F0943, F0944, F0945, F0946, F0947, F0949 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. / Provide training in compliance and ethics. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | F |
| 2025-07-24 | F0732 | Post nurse staffing information every day. | C |
| 2025-04-01 | F0867, F0947 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | E |
| 2025-04-01 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-08-15 | F0684, F0689 | 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. | J |
| 2024-08-15 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-08-15 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E |
| 2024-08-15 | F0609, F0610, F0625, F0656, F0761 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. | D |
| 2023-07-12 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2023-07-12 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2023-07-12 | F0689, F0690, F0700, F0758, F0759 | 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. / 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. / 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. | D |