| 2025-07-31 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2025-07-31 | 0578 | 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 |
| 2025-07-31 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-07-31 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D |
| 2025-07-31 | 0849 | 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 |
| 2025-07-31 | 0732 | Post nurse staffing information every day. | C |
| 2024-06-05 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-06-05 | 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 |
| 2024-06-05 | 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E |
| 2024-06-05 | 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2024-06-05 | 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 |
| 2024-06-05 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2024-06-05 | 0558 | Reasonably accommodate the needs and preferences of each resident. | D |
| 2024-06-05 | 0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D |
| 2024-06-05 | 0583 | Keep residents' personal and medical records private and confidential. | D |
| 2024-06-05 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-06-05 | 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-06-05 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2024-06-05 | 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 |
| 2024-06-05 | 0761 | 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 |
| 2024-06-05 | 0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D |
| 2023-05-05 | 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 |
| 2023-05-05 | 0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F |
| 2023-05-05 | 0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F |
| 2023-05-05 | 0570 | Assure the security of all personal funds of residents deposited with the facility. | E |
| 2023-05-05 | 0578 | 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 |
| 2023-05-05 | 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E |
| 2023-05-05 | 0759 | Ensure medication error rates are not 5 percent or greater. | E |
| 2023-05-05 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2023-05-05 | 0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E |
| 2023-05-05 | 0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E |
| 2023-05-05 | 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2023-05-05 | 0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E |
| 2023-05-05 | 0946 | Provide training in compliance and ethics. | E |
| 2023-05-05 | 0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E |
| 2023-05-05 | 0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D |
| 2023-05-05 | 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 |
| 2023-05-05 | 0760 | Ensure that residents are free from significant medication errors. | D |