| 2026-04-21 | 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 | 2026-05-06 |
| 2026-04-08 | 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. | F | 2026-04-29 |
| 2026-04-08 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | F | 2026-04-29 |
| 2026-04-08 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2026-04-29 |
| 2026-04-08 | Health · complaint | F0908 | Keep all essential equipment working safely. | F | 2026-04-29 |
| 2026-01-08 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2026-02-03 |
| 2026-01-08 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2026-02-03 |
| 2026-01-08 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2026-02-03 |
| 2026-01-08 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2026-02-03 |
| 2026-01-08 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2026-02-03 |
| 2025-12-05 | 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. | D | 2025-12-30 |
| 2025-12-05 | 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 | 2025-12-30 |
| 2025-12-05 | Health · complaint | 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. | E | 2025-12-30 |
| 2025-12-05 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2025-12-30 |
| 2025-10-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | — |
| 2025-05-20 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2025-06-13 |
| 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. | D | 2025-03-28 |
| 2025-02-14 | Health | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | 2025-03-28 |
| 2025-02-14 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | 2025-03-28 |
| 2025-02-14 | Health | F0578 | 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. | E | 2025-03-28 |
| 2025-02-14 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2025-03-28 |
| 2025-02-14 | 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 | 2025-03-28 |
| 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 | 2025-03-28 |
| 2025-02-14 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2025-03-28 |
| 2025-02-14 | Health | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | 2025-03-28 |
| 2025-02-14 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | 2025-03-28 |
| 2025-02-14 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2025-03-28 |
| 2025-02-14 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | E | 2025-03-28 |
| 2025-02-14 | Health · complaint | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2025-03-28 |
| 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 | 2025-03-28 |
| 2025-02-14 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-03-28 |
| 2025-02-14 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | 2025-03-28 |
| 2025-02-14 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2025-03-28 |
| 2025-02-14 | 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. | D | 2025-03-28 |
| 2025-02-14 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-03-28 |
| 2025-02-14 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2025-03-28 |
| 2025-02-14 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | 2025-03-28 |
| 2025-02-14 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | 2025-03-28 |
| 2025-02-14 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | 2025-03-28 |
| 2025-02-14 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2025-03-28 |
| 2025-02-14 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2025-03-28 |
| 2025-02-14 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | 2025-03-28 |
| 2025-02-14 | 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. | F | 2025-03-28 |
| 2025-02-14 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | 2025-03-28 |
| 2024-12-19 | 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. | D | 2025-01-10 |
| 2024-09-24 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-31 |
| 2024-05-07 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2024-05-17 |
| 2024-05-07 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | 2024-05-17 |
| 2024-05-07 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | 2024-05-17 |
| 2024-04-23 | Health · complaint | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2024-05-30 |
| 2024-02-12 | Health | F0578 | 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. | E | 2024-04-04 |
| 2024-02-12 | 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 | 2024-04-04 |
| 2024-02-12 | 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. | E | 2024-04-04 |
| 2024-02-12 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-04-04 |
| 2024-02-12 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-04-04 |
| 2024-02-12 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2024-04-04 |
| 2024-02-12 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-04-04 |
| 2024-02-12 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2024-04-04 |
| 2024-02-12 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2024-04-04 |
| 2024-02-12 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | 2024-04-04 |
| 2024-02-12 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-04-04 |
| 2024-02-12 | 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 | 2024-04-04 |
| 2024-02-12 | 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 | 2024-04-04 |
| 2024-02-12 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | C | 2024-04-04 |
| 2024-02-12 | Health | F0742 | 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. | D | 2024-04-04 |
| 2024-02-12 | 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 | 2024-04-04 |
| 2024-02-12 | 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 | 2024-04-04 |
| 2024-02-12 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2024-04-04 |
| 2024-02-12 | 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 | 2024-04-04 |
| 2024-02-12 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-04-04 |
| 2024-02-12 | Health | F0880 | Provide and implement an infection prevention and control program. | F | 2024-04-04 |
| 2024-02-12 | Health | F0881 | Implement a program that monitors antibiotic use. | F | 2024-04-04 |
| 2024-02-12 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2024-04-04 |
| 2024-02-12 | Health · complaint | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | F | 2024-04-04 |
| 2024-02-12 | Health | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | C | 2024-04-04 |
| 2024-02-12 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | C | 2024-04-04 |
| 2024-02-12 | Health | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | B | 2024-04-04 |
| 2024-02-12 | Health | F0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E | 2024-04-04 |
| 2024-02-12 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | C | 2024-04-04 |
| 2024-02-12 | Health | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | 2024-04-04 |
| 2024-02-12 | Health | F0946 | Provide training in compliance and ethics. | C | 2024-04-04 |
| 2024-02-12 | 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. | F | 2024-04-04 |
| 2024-02-12 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | C | 2024-04-04 |
| 2023-11-15 | 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 | 2023-11-29 |
| 2023-10-12 | 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. | E | 2023-11-29 |
| 2023-10-12 | Health · complaint | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2023-11-29 |
| 2023-07-20 | 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. | E | 2023-08-30 |
| 2023-07-20 | Health · complaint | F0680 | Ensure the activities program is directed by a qualified professional. | E | 2023-08-30 |
| 2023-07-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-08-30 |
| 2023-07-20 | 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. | D | 2023-08-30 |
| 2023-07-03 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-07-07 |
| 2023-03-06 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-04-19 |
| 2023-03-06 | Health | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | 2023-04-19 |
| 2023-03-06 | 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 | 2023-04-19 |
| 2023-03-06 | 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. | E | 2023-04-19 |
| 2023-03-06 | Health | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2023-04-19 |
| 2023-03-06 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-04-19 |
| 2023-03-06 | 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 | 2023-04-19 |
| 2023-03-06 | Health | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | 2023-04-19 |
| 2023-03-06 | Health | F0679 | Provide activities to meet all resident's needs. | E | 2023-04-19 |
| 2023-03-06 | Health | F0680 | Ensure the activities program is directed by a qualified professional. | F | 2023-04-19 |
| 2023-03-06 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-04-19 |
| 2023-03-06 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-04-19 |
| 2023-03-06 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2023-04-19 |
| 2023-03-06 | Health | F0760 | Ensure that residents are free from significant medication errors. | D | 2023-04-19 |
| 2023-03-06 | 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 | 2023-04-19 |
| 2023-03-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-04-19 |
| 2023-03-06 | Health | F0908 | Keep all essential equipment working safely. | E | 2023-04-19 |