| 2026-04-30 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | — |
| 2026-04-30 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | — |
| 2026-04-30 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | — |
| 2026-03-13 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2026-04-23 |
| 2026-03-13 | Health | 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 | 2026-04-23 |
| 2026-03-13 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2026-04-23 |
| 2026-03-13 | Health | F0585 | 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. | C | 2026-04-23 |
| 2026-03-13 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2026-04-23 |
| 2026-03-13 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2026-04-23 |
| 2026-03-13 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2026-04-23 |
| 2026-03-13 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2026-04-23 |
| 2026-03-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-04-23 |
| 2026-03-13 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-04-23 |
| 2026-03-13 | Health | F0688 | 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. | D | 2026-04-23 |
| 2026-03-13 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2026-04-23 |
| 2026-03-13 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2026-04-23 |
| 2026-03-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2026-04-23 |
| 2026-03-13 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2026-04-23 |
| 2026-03-13 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2026-04-23 |
| 2026-03-13 | Health | F0700 | 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. | E | 2026-04-23 |
| 2026-03-13 | Health | F0726 | 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. | D | 2026-04-23 |
| 2026-03-13 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2026-04-23 |
| 2026-03-13 | Health | 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. | E | 2026-04-23 |
| 2026-03-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-04-23 |
| 2026-03-13 | Health | F0814 | Dispose of garbage and refuse properly. | E | 2026-04-23 |
| 2026-03-13 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | 2026-04-23 |
| 2026-03-13 | Health | F0849 | 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. | D | 2026-04-23 |
| 2026-03-13 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2026-04-23 |
| 2026-03-13 | Health | F0908 | Keep all essential equipment working safely. | D | 2026-04-23 |
| 2026-03-13 | Health | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | 2026-04-23 |
| 2025-12-29 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2026-01-16 |
| 2025-12-05 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-11-24 |
| 2025-12-05 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | 2025-12-19 |
| 2025-12-04 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-12-12 |
| 2025-12-04 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2025-12-05 |
| 2025-12-04 | Health · complaint | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2025-12-12 |
| 2025-12-04 | Health · complaint | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | 2025-12-12 |
| 2025-12-04 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-12-05 |
| 2025-12-04 | Health · complaint | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | F | 2025-12-12 |
| 2025-12-04 | Health · complaint | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | F | 2025-12-12 |
| 2025-12-04 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2025-12-12 |
| 2025-08-27 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | — |
| 2025-08-27 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | — |
| 2025-08-07 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2025-09-02 |
| 2025-08-07 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2025-09-02 |
| 2025-08-07 | Health · complaint | F0584 | 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. | E | 2025-09-02 |
| 2025-08-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-07-26 |
| 2025-08-07 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-09-02 |
| 2025-08-07 | Health · complaint | F0801 | 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. | D | 2025-09-02 |
| 2025-08-07 | Health · complaint | F0803 | 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. | D | 2025-09-02 |
| 2025-08-07 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-09-02 |
| 2025-08-07 | Health · complaint | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | 2025-09-02 |
| 2025-08-07 | Health · complaint | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | F | 2025-09-02 |
| 2025-08-07 | Health · complaint | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2025-09-02 |
| 2025-06-11 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-06-20 |
| 2025-04-24 | Health · complaint | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2025-05-07 |
| 2025-04-24 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2025-05-07 |
| 2025-04-03 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | E | 2025-04-18 |
| 2025-04-03 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2025-04-18 |
| 2025-04-03 | Health · complaint | F0778 | Help the resident make transportation arrangements to and from radiology services. | D | 2025-04-18 |
| 2025-04-03 | Health · complaint | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | F | 2025-04-18 |
| 2025-02-14 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-05-02 |
| 2025-02-14 | Health | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-03-13 |
| 2025-02-14 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2025-03-13 |
| 2025-02-14 | Health | F0584 | 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. | E | 2025-05-21 |
| 2025-02-14 | Health | F0585 | 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. | D | 2025-03-13 |
| 2025-02-14 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-03-13 |
| 2025-02-14 | Health · complaint | F0620 | Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | D | 2025-03-13 |
| 2025-02-14 | Health | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | E | 2025-03-13 |
| 2025-02-14 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-03-13 |
| 2025-02-14 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-03-13 |
| 2025-02-14 | Health | F0688 | 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. | D | 2025-03-13 |
| 2025-02-14 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2025-03-13 |
| 2025-02-14 | Health | F0690 | 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 | 2025-03-13 |
| 2025-02-14 | Health | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | 2025-03-13 |
| 2025-02-14 | Health | F0693 | 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 | 2025-03-13 |
| 2025-02-14 | Health | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | 2025-03-13 |
| 2025-02-14 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2025-03-13 |
| 2025-02-14 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-03-13 |
| 2025-02-14 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | 2025-03-13 |
| 2025-02-14 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2025-03-13 |
| 2025-02-14 | Health | F0726 | 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. | J | 2025-03-13 |
| 2025-02-14 | Health | 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 | 2025-03-13 |
| 2025-02-14 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-03-13 |
| 2025-02-14 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-03-13 |
| 2025-02-14 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2025-03-13 |
| 2025-02-14 | Health | F0838 | 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. | D | 2025-03-13 |
| 2025-02-14 | Health | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | F | 2025-03-13 |
| 2025-02-14 | Health | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | D | 2025-03-13 |
| 2025-02-14 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | 2025-03-13 |
| 2025-02-14 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2025-05-02 |
| 2025-02-14 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2025-03-13 |
| 2025-02-14 | Health | 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. | D | 2025-03-13 |
| 2025-02-14 | Health | F0908 | Keep all essential equipment working safely. | D | 2025-03-13 |
| 2025-02-14 | Health | F0917 | Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | E | 2025-05-02 |
| 2025-02-14 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-03-13 |
| 2025-01-09 | Health · complaint | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | D | 2025-01-17 |
| 2024-12-12 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2024-12-27 |
| 2024-12-12 | Health · complaint | F0584 | 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. | F | 2024-12-27 |
| 2024-12-12 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2024-12-27 |
| 2024-12-12 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-27 |
| 2024-12-12 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-12-27 |
| 2024-11-07 | Health · complaint | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | E | 2024-11-22 |
| 2024-11-07 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-22 |
| 2024-11-07 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-11-22 |
| 2024-10-17 | Health · complaint | F0584 | 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. | F | 2024-10-25 |
| 2024-10-11 | Health · complaint | F0584 | 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. | E | 2024-10-25 |
| 2024-10-11 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-10-25 |
| 2024-10-11 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-10-25 |
| 2024-09-25 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-08 |
| 2024-09-04 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-09-20 |
| 2024-09-04 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | E | 2024-09-20 |
| 2024-09-04 | Health · complaint | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-09-20 |
| 2024-09-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-20 |
| 2024-07-24 | Health · complaint | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-08-08 |
| 2024-07-24 | Health · complaint | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-08-08 |
| 2024-07-24 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2024-08-08 |
| 2024-07-24 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-08-08 |
| 2024-07-24 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | 2024-08-08 |
| 2024-07-02 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-08-02 |
| 2024-07-02 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-08-02 |
| 2024-07-02 | Health · complaint | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | 2024-08-02 |
| 2024-07-02 | Health · complaint | F0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | 2024-08-02 |
| 2024-07-02 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | 2024-08-02 |
| 2024-07-02 | Health · complaint | F0836 | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | L | 2024-08-02 |
| 2024-07-02 | Health · complaint | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | E | 2024-08-02 |
| 2024-06-12 | Health · complaint | F0584 | 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. | D | 2024-06-25 |
| 2024-04-10 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2024-05-08 |
| 2024-03-13 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2024-05-08 |
| 2024-03-13 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | 2024-05-08 |
| 2024-03-13 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | 2024-05-08 |
| 2024-03-13 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2024-05-08 |
| 2024-03-13 | Health · complaint | F0584 | 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. | E | 2024-05-08 |
| 2024-03-13 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-05-27 |
| 2024-03-13 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2024-05-08 |
| 2024-03-13 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2024-05-08 |
| 2024-03-13 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-08 |
| 2024-03-13 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2024-05-08 |
| 2024-03-13 | Health | F0625 | 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. | D | 2024-05-08 |
| 2024-03-13 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2024-05-08 |
| 2024-03-13 | Health | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-05-08 |
| 2024-03-13 | Health | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | L | 2024-05-08 |
| 2024-03-13 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-05-08 |
| 2024-03-13 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | 2024-05-08 |
| 2024-03-13 | Health | F0690 | 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 | 2024-05-08 |
| 2024-03-13 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-05-08 |
| 2024-03-13 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2024-05-08 |
| 2024-03-13 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | 2024-05-08 |
| 2024-03-13 | Health | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-05-08 |
| 2024-03-13 | Health | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | 2024-05-08 |
| 2024-03-13 | Health | F0758 | 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 | 2024-05-08 |
| 2024-03-13 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-05-08 |
| 2024-03-13 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2024-05-08 |
| 2024-03-13 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2024-05-08 |
| 2024-03-13 | Health | 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 | 2024-05-08 |
| 2024-03-13 | Health | F0838 | 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. | F | 2024-05-08 |
| 2024-03-13 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2024-05-08 |
| 2023-11-28 | Health · complaint | F0584 | 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. | E | 2023-12-27 |
| 2023-11-28 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | E | 2023-12-27 |
| 2023-11-28 | Health · complaint | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2023-12-27 |
| 2023-11-28 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-12-27 |
| 2023-11-28 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2023-12-27 |
| 2023-11-28 | Health · complaint | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2023-12-27 |
| 2023-10-19 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | 2023-11-15 |
| 2023-10-19 | Health · complaint | F0584 | 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. | E | 2023-11-15 |
| 2023-10-19 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-11-15 |
| 2023-10-19 | Health · complaint | 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. | E | 2023-11-15 |
| 2023-10-19 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-11-15 |
| 2023-09-06 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2023-09-25 |
| 2023-09-06 | Health · complaint | F0885 | Report COVID19 data to residents and families. | D | 2023-09-25 |
| 2023-08-22 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | 2023-09-27 |
| 2023-08-22 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-09-27 |
| 2023-08-22 | Health · complaint | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2023-09-27 |