| 2026-08-26 | 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 |
| 2026-08-26 | 0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F |
| 2026-08-26 | 0637 | Assess the resident when there is a significant change in condition | E |
| 2026-08-26 | 0679 | Provide activities to meet all resident's needs. | E |
| 2026-08-26 | 0730 | Observe each nurse aide's job performance and give regular training. | E |
| 2026-08-26 | 0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E |
| 2026-08-26 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-08-26 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2026-08-26 | 0914 | Provide bedrooms that don't allow residents to see each other when privacy is needed. | E |
| 2026-08-26 | 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2026-08-26 | 0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E |
| 2026-08-26 | 0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E |
| 2026-08-26 | 0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E |
| 2026-08-26 | 0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E |
| 2026-08-26 | 0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E |
| 2026-08-26 | 0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E |
| 2026-08-26 | 0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E |
| 2026-08-26 | 0946 | Provide training in compliance and ethics. | E |
| 2026-08-26 | 0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E |
| 2026-08-26 | 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D |
| 2026-08-26 | 0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2026-08-26 | 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2026-08-26 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2026-08-26 | 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 |
| 2026-08-26 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2026-08-26 | 0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D |
| 2026-08-26 | 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 |
| 2026-08-26 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-08-26 | 0732 | Post nurse staffing information every day. | C |
| 2026-08-26 | 0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | B |
| 2026-08-26 | 0641 | Ensure each resident receives an accurate assessment. | B |
| 2025-06-25 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-06-25 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2025-06-25 | 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2025-06-25 | 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. | D |
| 2025-06-25 | 0637 | Assess the resident when there is a significant change in condition | D |
| 2025-06-25 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-06-25 | 0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D |
| 2025-06-25 | 0908 | Keep all essential equipment working safely. | D |
| 2025-06-25 | 0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2024-04-24 | 0572 | Give residents a notice of rights, rules, services and charges. | F |
| 2024-04-24 | 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. | F |
| 2024-04-24 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-04-24 | 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2024-04-24 | 0732 | Post nurse staffing information every day. | C |