| 2025-12-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-01-18 |
| 2025-12-18 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2026-01-18 |
| 2025-12-18 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2026-01-18 |
| 2025-10-03 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2025-11-10 |
| 2025-10-03 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-11-10 |
| 2025-10-03 | 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. | D | 2025-11-10 |
| 2025-10-03 | Health | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | 2025-11-10 |
| 2025-10-03 | 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 | 2025-11-10 |
| 2025-10-03 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-11-10 |
| 2025-10-03 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2025-11-10 |
| 2025-10-03 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-11-10 |
| 2025-10-03 | Health · complaint | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2025-11-10 |
| 2025-10-03 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2025-11-10 |
| 2025-10-03 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-11-10 |
| 2025-10-03 | Health · complaint | F0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2025-11-10 |
| 2025-10-03 | Health · complaint | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2025-11-10 |
| 2025-10-03 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-11-10 |
| 2025-10-03 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2025-11-10 |
| 2025-10-03 | Health · complaint | 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 | 2025-11-10 |
| 2025-10-03 | Health | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | 2025-11-10 |
| 2025-10-03 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | D | 2025-11-10 |
| 2025-10-03 | Health | F0881 | Implement a program that monitors antibiotic use. | D | 2025-11-10 |
| 2025-08-21 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2025-09-10 |
| 2025-07-08 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-08-04 |
| 2025-07-08 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-08-04 |
| 2025-06-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-07-01 |
| 2025-06-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-07-01 |
| 2025-04-03 | 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 | 2025-04-28 |
| 2025-04-03 | Health · complaint | 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 | 2025-04-28 |
| 2025-04-03 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2025-04-28 |
| 2025-04-03 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | E | 2025-04-28 |
| 2025-04-03 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2025-04-28 |
| 2025-04-03 | Health · complaint | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | 2025-04-28 |
| 2024-12-04 | Health · complaint | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | 2024-12-19 |
| 2024-12-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-19 |
| 2024-09-11 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-01 |
| 2024-09-11 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2024-10-01 |
| 2024-09-11 | Health · complaint | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | F | 2024-10-01 |
| 2024-07-15 | 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 | 2024-08-12 |
| 2024-07-15 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-08-12 |
| 2024-07-15 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-08-12 |
| 2024-07-15 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | F | 2024-08-12 |
| 2024-07-15 | 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 | 2024-08-12 |
| 2024-07-15 | 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. | E | 2024-08-12 |
| 2024-07-15 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2024-10-01 |
| 2024-07-15 | Health · complaint | F0679 | Provide activities to meet all resident's needs. | D | 2024-08-12 |
| 2024-07-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | 2024-08-12 |
| 2024-07-15 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | 2024-10-01 |
| 2024-07-15 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2024-08-12 |
| 2024-07-15 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-08-12 |
| 2024-07-15 | 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 | 2024-08-12 |
| 2024-07-15 | 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 | 2024-08-12 |
| 2024-07-15 | 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 | 2024-08-12 |
| 2024-07-15 | Health | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | 2024-08-12 |
| 2024-07-15 | Health | F0814 | Dispose of garbage and refuse properly. | F | 2024-08-12 |
| 2024-07-15 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2024-08-12 |
| 2024-07-15 | Health | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | 2024-08-12 |
| 2024-07-15 | 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 | 2024-08-12 |
| 2024-04-17 | Health · complaint | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | 2024-05-02 |
| 2024-04-17 | Health · complaint | 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. | K | 2024-05-02 |
| 2024-04-17 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-05-02 |
| 2024-04-17 | Health · complaint | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2024-05-02 |
| 2024-04-17 | Health · complaint | 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. | J | 2024-05-02 |
| 2024-04-17 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-05-02 |
| 2024-04-17 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-05-02 |
| 2024-04-17 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-05-02 |
| 2024-04-17 | Health · complaint | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-05-02 |
| 2024-04-17 | Health · complaint | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-05-02 |
| 2024-04-17 | 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 | 2024-05-02 |
| 2023-09-19 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-09-09 |
| 2023-09-19 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2023-09-09 |
| 2023-09-19 | Health · complaint | F0692 | Provide enough food/fluids to maintain a resident's health. | G | 2023-09-09 |
| 2023-09-19 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-09-09 |
| 2023-07-27 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-08-22 |
| 2023-07-27 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | 2023-08-22 |
| 2023-07-27 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2023-08-22 |
| 2023-07-27 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2023-08-22 |
| 2023-07-27 | Health | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | 2023-08-22 |
| 2023-07-27 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2023-08-22 |
| 2023-07-27 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-08-22 |
| 2023-07-27 | 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 | 2023-08-22 |
| 2023-07-27 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | 2023-08-22 |
| 2023-07-27 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2023-08-22 |
| 2023-07-27 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2023-08-22 |
| 2023-07-27 | 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. | E | 2023-08-22 |
| 2023-07-27 | 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 | 2023-08-22 |
| 2023-07-27 | 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 | 2023-08-22 |
| 2023-07-27 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2023-08-22 |
| 2023-07-27 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2023-08-22 |
| 2023-07-27 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2023-08-22 |
| 2023-07-27 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | 2023-08-22 |
| 2023-07-27 | Health | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | 2023-08-22 |
| 2023-07-27 | Health | F0946 | Provide training in compliance and ethics. | E | 2023-08-22 |
| 2023-07-27 | Health | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | 2023-08-22 |