| 2025-12-10 | F0686, F0691, F0698, F0755, F0760, F0880 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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. / Provide and implement an infection prevention and control program. | D |
| 2025-11-06 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2025-11-06 | F0607, F0726 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. / Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E |
| 2025-03-17 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | H |
| 2025-03-17 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | G |
| 2025-03-17 | F0725, F0880, F0881 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Provide and implement an infection prevention and control program. / Implement a program that monitors antibiotic use. | F |
| 2025-03-17 | F0623, F0757, F0812 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-03-17 | F0559, F0561, F0604, F0625, F0645, F0661, F0689, F0690, F0692, F0698, F0760 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / 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. / PASARR screening for Mental disorders or Intellectual Disabilities / Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. / 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. / Provide enough food/fluids to maintain a resident's health. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure that residents are free from significant medication errors. | D |
| 2025-03-17 | F0732 | Post nurse staffing information every day. | C |
| 2024-11-12 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2024-11-12 | F0585, F0609 | 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. | E |
| 2024-11-12 | F0551, F0610, F0655, F0660, F0745, F0755, F0760 | Give the resident's representative the ability to exercise the resident's rights. / Respond appropriately to all alleged violations. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Plan the resident's discharge to meet the resident's goals and needs. / Provide medically-related social services to help each resident achieve the highest possible quality of life. / 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 |
| 2024-01-16 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-01-16 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2024-01-16 | F0656, F0700, F0761, F0689 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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. / 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2024-01-16 | F0552, F0609, F0610, F0645, F0677, F0678, F0684, F0687, F0698, F0755, F0757, F0759, F0583 | Ensure that residents are fully informed and understand their health status, care and treatments. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate foot care. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / 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 medication error rates are not 5 percent or greater. / Keep residents' personal and medical records private and confidential. | D |
| 2022-09-12 | F0730, F0908, F0947 | Observe each nurse aide's job performance and give regular training. / Keep all essential equipment working safely. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | F |
| 2022-09-12 | 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 |
| 2022-09-12 | F0623, F0625, F0684, F0686, F0689, F0698, F0742, F0757, F0758, F0760, F0886 | 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. / 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 safe, appropriate dialysis care/services for a resident who requires such services. / 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. / 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 that residents are free from significant medication errors. / Perform COVID19 testing on residents and staff. | D |