| 2025-07-17 | 0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F |
| 2025-07-17 | 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 |
| 2025-07-17 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-07-17 | 0908 | Keep all essential equipment working safely. | E |
| 2025-07-17 | 0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D |
| 2025-07-17 | 0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D |
| 2025-07-17 | 0760 | Ensure that residents are free from significant medication errors. | D |
| 2025-07-17 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-05-27 | 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2024-05-27 | 0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G |
| 2024-05-27 | 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E |
| 2024-05-27 | 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 |
| 2024-05-27 | 0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E |
| 2024-05-27 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-05-27 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2024-05-27 | 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 |
| 2024-05-27 | 0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D |
| 2024-05-27 | 0641 | Ensure each resident receives an accurate assessment. | D |
| 2024-05-27 | 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2024-05-27 | 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2024-05-27 | 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2024-05-27 | 0710 | Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | D |
| 2024-05-27 | 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D |
| 2024-05-27 | 0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D |
| 2024-05-27 | 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 |
| 2024-05-27 | 0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D |
| 2024-05-27 | 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D |
| 2024-05-27 | 0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C |
| 2024-05-27 | 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. | C |
| 2024-05-27 | 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C |
| 2023-03-22 | 0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E |
| 2023-03-22 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2023-03-22 | 0558 | Reasonably accommodate the needs and preferences of each resident. | D |
| 2023-03-22 | 0641 | Ensure each resident receives an accurate assessment. | D |
| 2023-03-22 | 0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2023-03-22 | 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 |
| 2023-03-22 | 0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | D |
| 2023-03-22 | 0926 | Have policies on smoking. | D |