| 2026-05-20 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-05-20 | 0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2026-05-20 | 0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E |
| 2026-05-20 | 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
| 2026-05-20 | 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 |
| 2026-05-20 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2026-05-20 | 0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D |
| 2026-05-20 | 0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D |
| 2026-05-20 | 0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D |
| 2026-05-20 | 0943 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D |
| 2026-05-20 | 0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D |
| 2026-05-20 | 0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | D |
| 2026-05-20 | 0946 | Provide training in compliance and ethics. | D |
| 2026-05-20 | 0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
| 2026-05-20 | 0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D |
| 2025-03-21 | 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 |
| 2025-03-21 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-03-21 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2025-03-21 | 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D |
| 2025-03-21 | 0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D |
| 2025-03-21 | 0641 | Ensure each resident receives an accurate assessment. | D |
| 2025-03-21 | 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D |
| 2025-03-21 | 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-03-21 | 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 |
| 2025-03-21 | 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2025-03-21 | 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| 2024-02-16 | 0641 | Ensure each resident receives an accurate assessment. | E |
| 2024-02-16 | 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E |
| 2024-02-16 | 0759 | Ensure medication error rates are not 5 percent or greater. | E |
| 2024-02-16 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-02-16 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2024-02-16 | 0583 | Keep residents' personal and medical records private and confidential. | D |
| 2024-02-16 | 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 |
| 2024-02-16 | 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 |
| 2024-02-16 | 0926 | Have policies on smoking. | D |