| 2026-01-21 | 0641 | Ensure each resident receives an accurate assessment. | E |
| 2026-01-21 | 0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | E |
| 2026-01-21 | 0730 | Observe each nurse aide's job performance and give regular training. | E |
| 2026-01-21 | 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. | E |
| 2026-01-21 | 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 |
| 2026-01-21 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2026-01-21 | 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D |
| 2026-01-21 | 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D |
| 2026-01-21 | 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 |
| 2026-01-21 | 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. | D |
| 2026-01-21 | 0759 | Ensure medication error rates are not 5 percent or greater. | D |
| 2024-10-18 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2024-10-18 | 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2024-10-18 | 0610 | Respond appropriately to all alleged violations. | E |
| 2024-10-18 | 0759 | Ensure medication error rates are not 5 percent or greater. | E |
| 2024-10-18 | 0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D |
| 2024-10-18 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-10-18 | 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D |
| 2024-10-18 | 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 |
| 2023-09-18 | 0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | F |
| 2023-09-18 | 0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F |
| 2023-09-18 | 0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | F |
| 2023-09-18 | 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E |
| 2023-09-18 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2023-09-18 | 0759 | Ensure medication error rates are not 5 percent or greater. | E |
| 2023-09-18 | 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. | E |
| 2023-09-18 | 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E |
| 2023-09-18 | 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-09-18 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-09-18 | 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. | D |