| 2025-12-04 | 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F |
| 2025-12-04 | 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2025-12-04 | 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. | E |
| 2025-12-04 | 0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E |
| 2025-12-04 | 0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E |
| 2025-12-04 | 0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E |
| 2025-12-04 | 0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E |
| 2025-12-04 | 0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | E |
| 2025-12-04 | 0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E |
| 2025-12-04 | 0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E |
| 2025-12-04 | 0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E |
| 2025-12-04 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-12-04 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2024-07-31 | 0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F |
| 2024-07-31 | 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2024-07-31 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2024-07-31 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E |
| 2024-07-31 | 0695 | Provide safe and appropriate respiratory care for a resident when needed. | E |
| 2024-07-31 | 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 |
| 2024-07-31 | 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. | E |
| 2024-07-31 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-07-31 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2024-07-31 | 0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | E |
| 2024-07-31 | 0558 | Reasonably accommodate the needs and preferences of each resident. | D |
| 2024-07-31 | 0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D |
| 2024-07-31 | 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D |
| 2024-07-31 | 0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C |
| 2024-07-31 | 0680 | Ensure the activities program is directed by a qualified professional. | C |
| 2024-07-31 | 0732 | Post nurse staffing information every day. | B |
| 2024-07-31 | 0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | B |
| 2024-07-31 | 0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | B |
| 2024-07-31 | 0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | B |
| 2023-06-08 | 0558 | Reasonably accommodate the needs and preferences of each resident. | E |
| 2023-06-08 | 0567 | Honor the resident's right to manage his or her financial affairs. | E |
| 2023-06-08 | 0711 | Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | E |
| 2023-06-08 | 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 |
| 2023-06-08 | 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 |
| 2023-06-08 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-06-08 | 0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E |
| 2023-06-08 | 0880 | Provide and implement an infection prevention and control program. | E |