| 2025-12-10 | Health · complaint | F0583 | Keep residents' personal and medical records private and confidential. | D | 2026-01-26 |
| 2025-12-10 | 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. | D | 2026-03-07 |
| 2025-12-10 | 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 | 2026-01-26 |
| 2025-12-10 | Health · complaint | 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 | 2026-01-26 |
| 2025-12-10 | 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. | D | 2026-03-07 |
| 2025-12-10 | Health · complaint | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2026-03-07 |
| 2025-07-24 | Health · complaint | F0573 | Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | D | 2025-09-20 |
| 2025-07-24 | 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 | 2025-09-20 |
| 2025-07-24 | 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. | F | 2025-09-20 |
| 2025-07-24 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-09-20 |
| 2025-07-24 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-09-20 |
| 2025-07-24 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2025-09-20 |
| 2025-07-24 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-09-20 |
| 2025-07-24 | Health | F0685 | Assist a resident in gaining access to vision and hearing services. | D | 2025-09-20 |
| 2025-07-24 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-09-20 |
| 2025-07-24 | 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 | 2025-09-20 |
| 2025-07-24 | 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 | 2025-09-20 |
| 2025-07-24 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2025-09-20 |
| 2025-07-24 | Health | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | 2025-09-20 |
| 2025-07-24 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | D | 2025-09-20 |
| 2025-07-24 | Health · complaint | F0732 | Post nurse staffing information every day. | C | 2025-09-20 |
| 2025-07-24 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2025-09-20 |
| 2025-07-24 | 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 | 2025-09-20 |
| 2025-07-24 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-09-20 |
| 2025-07-24 | 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 | 2025-09-20 |
| 2025-07-24 | Health | F0791 | Provide or obtain dental services for each resident. | D | 2025-09-20 |
| 2025-07-24 | 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 | 2025-09-20 |
| 2025-07-24 | Health | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | 2025-09-20 |
| 2025-07-24 | Health | F0908 | Keep all essential equipment working safely. | D | 2025-09-20 |
| 2025-07-24 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | 2025-09-20 |
| 2025-04-03 | 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. | D | 2025-05-14 |
| 2025-04-03 | Health · complaint | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | 2025-05-14 |
| 2025-04-03 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-05-14 |
| 2025-04-03 | 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. | D | 2025-05-14 |
| 2025-04-03 | Health · complaint | F0760 | Ensure that residents are free from significant medication errors. | D | 2025-05-14 |
| 2022-06-24 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-08-24 |
| 2022-06-24 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | 2022-08-24 |
| 2022-06-24 | 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 | 2022-12-21 |
| 2022-06-24 | 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 | 2022-08-24 |
| 2022-06-24 | 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 | 2022-08-24 |
| 2022-06-24 | 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 | 2022-08-24 |
| 2022-06-24 | Health | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2022-08-24 |
| 2022-06-24 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2022-08-24 |
| 2022-06-24 | Health | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | F | 2022-08-24 |
| 2022-06-24 | Health | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2022-12-21 |
| 2022-06-24 | Health | F0610 | Respond appropriately to all alleged violations. | D | 2022-12-21 |
| 2022-06-24 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | 2022-08-24 |
| 2022-06-24 | 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. | B | 2022-08-24 |
| 2022-06-24 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2022-08-24 |
| 2022-06-24 | 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 | 2022-08-24 |
| 2022-06-24 | 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 | 2022-12-21 |
| 2022-06-24 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | 2022-12-21 |
| 2022-06-24 | 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. | E | 2022-08-24 |
| 2022-06-24 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | 2022-08-24 |
| 2022-06-24 | Health | F0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | D | 2022-08-24 |
| 2022-06-24 | Health | F0732 | Post nurse staffing information every day. | D | 2022-08-24 |
| 2022-06-24 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | 2022-08-24 |
| 2022-06-24 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2022-08-24 |
| 2022-06-24 | 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 | 2022-12-21 |
| 2022-06-24 | 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 | 2022-12-21 |
| 2022-06-24 | Health | F0775 | Keep complete, dated laboratory records in the resident's record. | D | 2022-12-21 |
| 2022-06-24 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-12-21 |
| 2022-06-24 | Health | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | 2022-12-21 |
| 2022-06-24 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2022-08-24 |
| 2022-06-24 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | 2022-12-21 |
| 2022-06-24 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2022-08-24 |
| 2022-06-24 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2022-12-21 |
| 2022-06-24 | Health | F0886 | Perform COVID19 testing on residents and staff. | F | 2022-12-21 |
| 2022-06-24 | 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. | E | 2022-08-24 |
| 2022-06-24 | Health | F0888 | Ensure staff are vaccinated for COVID-19 | F | 2022-08-24 |
| 2022-06-24 | Health | F0908 | Keep all essential equipment working safely. | D | 2022-08-24 |
| 2018-10-19 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2018-12-13 |
| 2018-10-19 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | 2018-12-13 |
| 2018-10-19 | 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 | 2018-12-13 |
| 2018-10-19 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2018-12-13 |
| 2018-10-19 | Health | F0583 | Keep residents' personal and medical records private and confidential. | D | 2018-12-13 |
| 2018-10-19 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | 2018-12-13 |
| 2018-10-19 | Health | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2018-12-13 |
| 2018-10-19 | 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. | C | 2018-12-13 |
| 2018-10-19 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2018-12-13 |
| 2018-10-19 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | C | 2018-12-13 |
| 2018-10-19 | 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 | 2018-12-13 |
| 2018-10-19 | 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. | E | 2018-12-13 |
| 2018-10-19 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2018-12-13 |
| 2018-10-19 | Health | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | 2018-12-13 |
| 2018-10-19 | Health | F0679 | Provide activities to meet all resident's needs. | D | 2018-12-13 |
| 2018-10-19 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | E | 2018-12-13 |
| 2018-10-19 | Health | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | 2018-12-13 |
| 2018-10-19 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2018-12-13 |
| 2018-10-19 | Health | F0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D | 2018-12-13 |
| 2018-10-19 | Health | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2018-12-13 |
| 2018-10-19 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | F | 2018-12-13 |
| 2018-10-19 | Health | F0732 | Post nurse staffing information every day. | C | 2018-12-13 |
| 2018-10-19 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | 2018-12-13 |
| 2018-10-19 | 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 | 2018-12-13 |
| 2018-10-19 | 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 | 2018-12-13 |
| 2018-10-19 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | 2018-12-13 |
| 2018-10-19 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2018-12-13 |
| 2018-10-19 | Health | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | 2018-12-13 |
| 2018-10-19 | Health | F0880 | Provide and implement an infection prevention and control program. | E | 2018-12-13 |