| 2026-04-23 | F0573, F0656, F0689, F0880 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. | D |
| 2025-12-30 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-08-27 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2025-08-27 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2025-08-27 | F0553, F0628, F0802, F0812, F0887 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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 |
| 2025-08-27 | F0578, F0605, F0637, F0641, F0689, F0740, F0756, F0761, F0883 | 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. / Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. / Assess the resident when there is a significant change in condition / Ensure each resident receives an accurate assessment. / 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 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. / Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2025-08-27 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B |
| 2025-05-16 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2025-05-16 | F0726, F0880 | 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. / Provide and implement an infection prevention and control program. | D |
| 2025-04-18 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2025-03-06 | F0563, F0580, F0684, F0757 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / 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 |
| 2025-01-15 | F0585, F0656 | 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-06-13 | F0812, F0837, F0908 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / 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. / Keep all essential equipment working safely. | F |
| 2024-06-13 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2024-06-13 | F0582, F0645, F0677, F0761 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / PASARR screening for Mental disorders or Intellectual Disabilities / Provide care and assistance to perform activities of daily living for any resident who is unable. / 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 |
| 2024-06-13 | F0732 | Post nurse staffing information every day. | C |
| 2024-05-02 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E |
| 2024-03-21 | F0677, F0684 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2023-08-03 | F0563, F0610 | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. / Respond appropriately to all alleged violations. | D |
| 2023-03-23 | F0623, F0625, F0656, F0758, F0803 | 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / 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 menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E |
| 2023-03-23 | F0761 | 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 |