| 2025-11-21 | 0908 | Keep all essential equipment working safely. | F |
| 2025-11-21 | 0584 | 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 |
| 2025-11-21 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2025-11-21 | 0727 | 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 |
| 2025-11-21 | 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2025-11-21 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-11-21 | 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2025-11-21 | 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2025-11-21 | 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2025-11-21 | 0690 | 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 |
| 2025-11-21 | 0699 | Provide care or services that was trauma informed and/or culturally competent. | D |
| 2025-11-21 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2024-09-06 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-09-06 | 0727 | 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 |
| 2024-09-06 | 0791 | Provide or obtain dental services for each resident. | E |
| 2024-09-06 | 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E |
| 2024-09-06 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2024-09-06 | 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2024-09-06 | 0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2024-09-06 | 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D |
| 2024-09-06 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-09-06 | 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-09-06 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-09-06 | 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D |
| 2024-09-06 | 0758 | 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 |
| 2023-08-11 | 0727 | 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 |
| 2023-08-11 | 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2023-08-11 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-08-11 | 0558 | Reasonably accommodate the needs and preferences of each resident. | D |
| 2023-08-11 | 0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D |
| 2023-08-11 | 0926 | Have policies on smoking. | D |