| 2025-08-22 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2025-08-22 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-08-22 | 0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E |
| 2025-08-22 | 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D |
| 2025-08-22 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2024-07-11 | 0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F |
| 2024-07-11 | 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E |
| 2024-07-11 | 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. | E |
| 2024-07-11 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-07-11 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2024-07-11 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-07-11 | 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 |
| 2024-07-11 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-06-15 | 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2023-06-15 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2023-06-15 | 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. | E |
| 2023-06-15 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-06-15 | 0814 | Dispose of garbage and refuse properly. | E |
| 2023-06-15 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2023-06-15 | 0558 | Reasonably accommodate the needs and preferences of each resident. | D |
| 2023-06-15 | 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D |
| 2023-06-15 | 0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D |
| 2023-06-15 | 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-06-15 | 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D |
| 2023-06-15 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-06-15 | 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 |
| 2023-06-15 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |