| 2025-12-04 | 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 | 2025-12-26 |
| 2025-11-21 | Health | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | 2025-12-15 |
| 2025-11-21 | 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 | 2025-12-15 |
| 2025-11-21 | Health | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | 2025-12-15 |
| 2025-11-21 | Health | F0641 | Ensure each resident receives an accurate assessment. | D | 2025-12-15 |
| 2025-11-21 | 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 | 2025-12-15 |
| 2025-11-21 | 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 | 2025-12-15 |
| 2025-11-21 | 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 | 2025-12-15 |
| 2025-11-21 | 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 | 2025-12-15 |
| 2025-11-21 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2025-12-15 |
| 2025-11-21 | Health | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | 2025-12-15 |
| 2025-11-21 | Health | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | 2025-12-15 |
| 2025-11-21 | Health | F0881 | Implement a program that monitors antibiotic use. | B | 2025-12-15 |
| 2025-11-21 | 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. | B | 2025-12-15 |
| 2025-11-21 | Health | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | 2025-12-15 |
| 2025-07-09 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-08-04 |
| 2025-05-14 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-06-06 |
| 2025-05-14 | Health · complaint | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2025-06-06 |
| 2025-05-14 | Health · complaint | F0732 | Post nurse staffing information every day. | B | 2025-06-06 |
| 2025-05-07 | 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 | 2025-06-06 |
| 2025-04-15 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-05-21 |
| 2025-03-28 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-04-21 |
| 2025-01-16 | Health · complaint | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | 2025-02-12 |
| 2025-01-16 | Health · complaint | 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 | 2025-02-12 |
| 2024-12-20 | 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 | 2025-01-14 |
| 2024-12-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-01-14 |
| 2024-12-20 | Health · complaint | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | 2025-01-14 |
| 2024-12-06 | 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 | 2024-12-30 |
| 2024-12-06 | Health | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | 2024-12-30 |
| 2024-12-06 | 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 | 2024-12-30 |
| 2024-12-06 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-12-30 |
| 2024-12-06 | Health | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | 2024-12-30 |
| 2024-12-06 | 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. | D | 2024-12-30 |
| 2024-12-06 | 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. | E | 2024-12-30 |
| 2024-12-06 | Health | F0730 | Observe each nurse aide's job performance and give regular training. | E | 2024-12-30 |
| 2024-12-06 | 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 | 2024-12-30 |
| 2024-12-06 | 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. | D | 2024-12-30 |
| 2024-12-06 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-12-30 |
| 2024-12-06 | Health | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | 2024-12-30 |
| 2024-10-23 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | E | 2024-11-16 |
| 2024-08-28 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-09-22 |
| 2024-08-05 | Health · complaint | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | 2024-08-29 |
| 2024-07-12 | Health · complaint | 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 | 2024-08-02 |
| 2024-06-04 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2024-06-28 |
| 2024-06-04 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-06-28 |
| 2024-06-04 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | 2024-06-28 |
| 2024-06-04 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-06-28 |
| 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. | E | 2024-05-30 |
| 2024-04-02 | Health · complaint | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-04-25 |
| 2024-04-02 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2024-04-25 |
| 2024-03-20 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2024-04-16 |
| 2024-03-20 | 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 | 2024-04-16 |
| 2024-03-20 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2024-04-16 |
| 2023-12-08 | Health | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | 2024-01-08 |
| 2023-12-08 | 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. | B | 2024-01-08 |
| 2023-12-08 | Health | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2024-01-08 |
| 2023-12-08 | 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 | 2024-01-08 |
| 2023-12-08 | Health | F0692 | Provide enough food/fluids to maintain a resident's health. | D | 2024-01-08 |
| 2023-12-08 | Health | F0732 | Post nurse staffing information every day. | D | 2024-01-08 |
| 2023-12-08 | Health | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2024-01-08 |
| 2023-12-08 | Health | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | 2024-01-08 |
| 2023-12-08 | Health | F0759 | Ensure medication error rates are not 5 percent or greater. | D | 2024-01-08 |
| 2023-12-08 | Health | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | 2024-01-08 |
| 2023-12-08 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-01-08 |
| 2023-12-08 | Health | F0911 | Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | B | 2024-01-08 |
| 2023-12-08 | Health | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | 2024-01-08 |
| 2023-12-08 | Health | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | 2024-01-08 |
| 2023-11-07 | Health · complaint | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | 2023-12-07 |
| 2023-11-07 | 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 | 2023-12-07 |
| 2023-07-28 | 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 | 2023-08-25 |
| 2023-07-28 | 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 | 2023-08-25 |