Access Mental Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jul 17, 2026.

Dispose of garbage and refuse properly.

Rule F0814. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Jul 17, 2026.

Ensure each resident receives an accurate assessment.

Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 23, 2026.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 23, 2026.

Ensure services provided by the nursing facility meet professional standards of quality.

Rule F0658. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 23, 2026.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 23, 2026.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 23, 2026.

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Rule F0740. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Nov 5, 2025.

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.

Rule F0584. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 23, 2026.

Ensure that residents are fully informed and understand their health status, care and treatments.

Rule F0552. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 25, 2025.

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Rule F0636. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Aug 7, 2025.

Ensure each resident receives an accurate assessment.

Rule F0641. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 25, 2025.

Create and put into place a plan for meeting the resident’s most immediate needs within 48 hours of being admitted

Rule F0655. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 25, 2025.

Ensure medication error rates are not 5 percent or greater.

Rule F0759. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 25, 2025.

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Rule F0804. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 25, 2025.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 25, 2025.

Provide and implement an infection prevention and control program.

Rule F0880. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 25, 2025.

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Rule F0883. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 25, 2025.

Provide enough food/fluids to maintain a resident’s health.

Rule F0692. G: actual harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Rule F0622. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Rule F0623. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Ensure each resident receives an accurate assessment.

Rule F0641. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Rule F0688. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Rule F0690. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Provide care or services that was trauma informed and/or culturally competent.

Rule F0699. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Rule F0740. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Rule F0756. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Rule F0757. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

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.

Rule F0758. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

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.

Rule F0801. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Rule F0812. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Rule F0883. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member’s vaccination status.

Rule F0887. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 12, 2025.

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Rule F0604. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Nov 11, 2024.

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Rule F0742. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Nov 11, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Feb 29, 2024.

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

Rule F0741. G: actual harm. From a complaint. Correction date, as CMS recorded it: Feb 29, 2024.

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Rule F0835. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 29, 2024.

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Rule F0867. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 29, 2024.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Rule F0600. K: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Feb 20, 2024.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Rule F0609. L: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Feb 20, 2024.

Respond appropriately to all alleged violations.

Rule F0610. L: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Feb 20, 2024.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Rule F0689. J: immediate jeopardy to health or safety. From a complaint. Correction date, as CMS recorded it: Feb 20, 2024.