| 2026-03-03 | Health · complaint | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2026-03-30 |
| 2026-03-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2026-03-30 |
| 2026-03-03 | Health · complaint | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | 2026-03-30 |
| 2025-11-18 | 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 | 2026-01-16 |
| 2025-11-18 | Health · complaint | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | 2026-01-16 |
| 2025-11-18 | 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 | 2026-01-16 |
| 2025-11-18 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2026-01-16 |
| 2025-11-18 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2026-01-16 |
| 2025-11-18 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2026-01-16 |
| 2025-11-18 | Health · complaint | 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 | 2026-01-16 |
| 2025-11-18 | Health · complaint | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | 2026-01-16 |
| 2025-06-18 | 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 | 2025-07-25 |
| 2025-06-18 | Health · complaint | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-07-25 |
| 2025-06-18 | 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. | E | 2025-07-25 |
| 2025-06-18 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-07-25 |
| 2025-06-18 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-07-25 |
| 2025-06-18 | Health · complaint | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | 2025-07-25 |
| 2025-02-20 | 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 | 2025-04-02 |
| 2025-02-20 | Health · complaint | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | 2025-04-02 |
| 2025-02-20 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | G | 2025-04-02 |
| 2025-02-20 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-04-02 |
| 2025-02-20 | Health · complaint | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2025-04-02 |
| 2025-02-20 | 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. | G | 2025-04-02 |
| 2025-02-20 | Health · complaint | 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 | 2025-04-02 |
| 2025-02-20 | Health · complaint | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-04-02 |
| 2025-02-20 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-04-02 |
| 2024-11-06 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-12-20 |
| 2024-11-06 | 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 | 2024-12-20 |
| 2024-11-06 | Health | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2024-12-20 |
| 2024-11-06 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2024-12-20 |
| 2024-11-06 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2024-12-20 |
| 2024-11-06 | 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 | 2024-12-20 |
| 2024-11-06 | Health | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2024-12-20 |
| 2024-11-06 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-12-20 |
| 2024-11-06 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-12-20 |
| 2024-11-06 | 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 | 2024-12-20 |
| 2024-11-06 | 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. | F | 2024-12-20 |
| 2024-11-06 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2024-12-20 |
| 2024-11-06 | 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 | 2024-12-20 |
| 2024-11-06 | Health | F0791 | Provide or obtain dental services for each resident. | E | 2024-12-20 |
| 2024-11-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-12-20 |
| 2024-11-06 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2024-12-20 |
| 2024-11-06 | Health | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | 2024-12-20 |
| 2024-11-06 | 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 | 2024-12-20 |
| 2024-08-23 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-10-21 |
| 2024-08-23 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | D | 2024-10-21 |
| 2024-08-23 | Health · complaint | 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. | D | 2024-10-21 |
| 2024-01-03 | Health · complaint | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | 2024-01-17 |
| 2023-08-03 | Health | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | 2023-09-02 |
| 2023-08-03 | 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. | E | 2023-09-02 |
| 2023-08-03 | 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 | 2024-01-16 |
| 2023-08-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | 2024-01-16 |
| 2023-08-03 | Health · complaint | F0610 | Respond appropriately to all alleged violations. | E | 2023-09-02 |
| 2023-08-03 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2024-01-16 |
| 2023-08-03 | 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 | 2024-01-16 |
| 2023-08-03 | Health | F0641 | Ensure each resident receives an accurate assessment. | E | 2023-09-02 |
| 2023-08-03 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | 2023-09-02 |
| 2023-08-03 | 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 | 2023-09-02 |
| 2023-08-03 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2023-09-02 |
| 2023-08-03 | 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. | E | 2023-09-02 |
| 2023-08-03 | Health | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | 2023-09-02 |
| 2023-08-03 | 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 | 2023-09-02 |
| 2023-08-03 | Health | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | 2023-09-02 |
| 2023-08-03 | Health · complaint | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | 2023-09-02 |
| 2023-08-03 | 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 | 2023-09-02 |
| 2023-08-03 | Health · complaint | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | 2023-09-02 |
| 2023-08-03 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2023-09-02 |
| 2023-08-03 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | 2024-01-16 |
| 2023-08-03 | 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. | E | 2023-09-02 |
| 2022-09-09 | Health | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | 2022-10-07 |
| 2022-09-09 | Health | 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. | E | 2022-10-07 |
| 2022-09-09 | Health | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | F | 2022-10-07 |
| 2022-09-09 | 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 | 2022-10-07 |
| 2022-09-09 | Health | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | 2022-10-07 |
| 2022-09-09 | 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 | 2022-10-07 |
| 2022-09-09 | Health | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | 2022-10-07 |
| 2022-09-09 | 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 | 2022-10-07 |
| 2022-09-09 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2022-10-07 |
| 2022-09-09 | Health | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | 2022-10-07 |
| 2022-09-09 | 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 | 2022-10-07 |
| 2022-09-09 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2022-10-07 |
| 2022-09-09 | 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. | F | 2022-10-07 |
| 2022-09-09 | 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 | 2022-10-07 |
| 2022-09-09 | 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 | 2022-10-07 |
| 2022-09-09 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-10-07 |
| 2022-09-09 | 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 | 2022-10-07 |
| 2022-09-09 | 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. | E | 2022-10-07 |
| 2022-09-09 | Health | F0880 | Provide and implement an infection prevention and control program. | B | 2022-10-07 |
| 2022-09-09 | Health | F0886 | Perform COVID19 testing on residents and staff. | F | 2022-10-07 |
| 2022-09-09 | Health | F0908 | Keep all essential equipment working safely. | D | 2022-10-07 |
| 2022-09-09 | 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 | 2022-10-07 |