| 2024-11-13 | Health · complaint | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-11-14 |
| 2024-11-13 | Health · complaint | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | E | 2024-11-14 |
| 2024-09-25 | 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. | D | 2024-10-18 |
| 2024-09-25 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-10-18 |
| 2024-09-25 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-10-18 |
| 2024-09-25 | Health | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | 2024-10-18 |
| 2024-09-25 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2024-10-18 |
| 2024-09-25 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2024-10-18 |
| 2024-09-25 | 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 | 2024-10-18 |
| 2024-09-25 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-10-18 |
| 2024-09-25 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2024-10-18 |
| 2024-09-25 | 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 | 2024-10-18 |
| 2024-09-25 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2024-10-18 |
| 2024-09-25 | 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. | F | 2024-11-13 |
| 2024-09-25 | Health | 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. | F | 2024-11-13 |
| 2024-09-25 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-10-18 |
| 2024-09-25 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2024-10-18 |
| 2024-09-25 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-13 |
| 2024-09-25 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2024-10-18 |
| 2024-09-25 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2024-10-18 |
| 2024-09-25 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | F | 2024-10-18 |
| 2024-09-25 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-10-18 |
| 2024-09-19 | Health · complaint | F0727 | 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. | F | 2024-10-08 |
| 2024-08-20 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2024-09-06 |
| 2024-08-20 | 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 | 2024-09-06 |
| 2024-08-20 | Health · complaint | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2024-09-06 |
| 2024-08-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-09-06 |
| 2024-05-08 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-05-30 |
| 2024-05-08 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2024-05-30 |
| 2024-05-08 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2024-05-30 |
| 2024-04-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2024-04-17 |
| 2024-04-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-04-17 |
| 2024-02-10 | 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 | 2024-03-01 |
| 2024-02-10 | 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 | 2024-03-01 |
| 2024-02-10 | Health · complaint | F0727 | 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. | F | 2024-03-01 |
| 2024-02-10 | Health · complaint | F0918 | Provide a bathroom in or located near each resident’s room. | E | 2024-03-01 |
| 2024-01-26 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-02-22 |
| 2023-08-22 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | 2023-09-14 |
| 2023-08-22 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-09-14 |
| 2023-08-22 | Health · complaint | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | 2023-09-14 |
| 2023-08-22 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-09-14 |
| 2023-08-22 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | 2023-09-14 |
| 2023-08-22 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | 2023-09-14 |
| 2023-08-22 | Health | F0642 | Ensure a qualified health professional conducts resident assessments. | E | 2023-09-14 |
| 2023-08-22 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-09-14 |
| 2023-08-22 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-09-14 |
| 2023-08-22 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-09-14 |
| 2023-08-22 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-09-14 |
| 2023-08-22 | Health · complaint | F0727 | 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. | F | 2023-09-14 |
| 2023-08-22 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2023-09-14 |
| 2023-08-22 | 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. | E | 2023-09-14 |
| 2023-08-22 | Health | 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. | C | 2023-09-19 |
| 2023-08-22 | Health | 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. | E | 2023-09-14 |
| 2023-08-22 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-09-14 |
| 2023-08-22 | Health | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | F | 2023-11-01 |
| 2023-08-22 | Health | F0924 | Put firmly secured handrails on each side of hallways. | E | 2023-09-14 |
| 2023-07-31 | Health · complaint | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | 2023-08-11 |
| 2023-07-31 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2023-08-11 |
| 2023-07-31 | Health · complaint | F0727 | 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. | F | 2023-08-11 |
| 2023-07-31 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2023-08-11 |
| 2023-07-31 | Health · complaint | F0908 | Keep all essential equipment working safely. | D | 2023-08-11 |
| 2022-07-27 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-09-08 |
| 2022-07-27 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2022-09-08 |
| 2022-07-27 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | C | 2022-09-08 |
| 2022-07-27 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | 2022-09-08 |
| 2022-07-27 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2022-09-08 |
| 2022-07-27 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2022-09-08 |
| 2022-07-27 | 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 | 2022-09-08 |
| 2022-07-27 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2022-09-08 |
| 2022-07-27 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-09-23 |
| 2022-07-27 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | 2022-09-23 |
| 2022-07-27 | 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 | 2022-09-08 |
| 2022-07-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2022-09-08 |
| 2022-07-27 | 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 | 2022-09-08 |
| 2022-07-27 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2022-09-08 |
| 2022-07-27 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-09-08 |
| 2022-07-27 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | E | 2022-09-08 |
| 2022-07-27 | Health | F0727 | 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. | F | 2022-09-23 |
| 2022-07-27 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | 2022-09-08 |
| 2022-07-27 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2022-09-08 |
| 2022-07-27 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2022-09-08 |
| 2022-07-27 | 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 | 2022-09-08 |
| 2022-07-27 | Health | F0760 | Ensure that residents are free from significant medication errors. | E | 2022-09-08 |
| 2022-07-27 | 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 | 2022-09-08 |
| 2022-07-27 | Health | F0810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | 2022-09-08 |
| 2022-07-27 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-09-23 |
| 2022-07-27 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | 2022-09-08 |
| 2022-07-27 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2022-09-08 |
| 2022-07-27 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2022-09-08 |