Multy Medical Skilled Nursing Facility

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. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 12, 2026.

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.

Rule F0761. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 12, 2026.

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Rule F0851. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 12, 2026.

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. Correction date, as CMS recorded it: May 12, 2026.

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Rule F0868. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 12, 2026.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Rule F0921. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 12, 2026.

Put firmly secured handrails on each side of hallways.

Rule F0924. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 12, 2026.

Post nurse staffing information every day.

Rule F0732. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: May 12, 2026.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Rule F0550. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Rule F0553. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Allow residents to self-administer drugs if determined clinically appropriate.

Rule F0554. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Reasonably accommodate the needs and preferences of each resident.

Rule F0558. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Honor the resident’s right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Rule F0559. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Protect a residents’ right to refuse some types of non-requested transfers within the nursing home.

Rule F0560. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Rule F0561. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Provide immediate access to any resident.

Rule F0562. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Honor the resident’s right to receive visitors of his or her choosing, at the time of his or her choosing.

Rule F0563. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.

Rule F0564. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Honor the resident’s right to organize and participate in resident/family groups in the facility.

Rule F0565. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.

Rule F0566. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Honor the resident’s right to manage his or her financial affairs.

Rule F0567. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Give residents a notice of rights, rules, services and charges.

Rule F0572. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Let each resident or the resident’s legal representative access or purchase copies of all the resident’s records.

Rule F0573. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

The resident has the right to receive notices in a format and a language he or she understands.

Rule F0574. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

Rule F0575. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Allow residents to easily view the nursing home’s survey results and communicate with advocate agencies.

Rule F0577. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

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.

Rule F0578. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 3, 2024.

Provide information about how to apply for and use Medicare and Medicaid benefits.

Rule F0579. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Rule F0580. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Rule F0582. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

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. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.

Rule F0586. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

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

Rule F0600. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Protect each resident from the wrongful use of the resident’s belongings or money.

Rule F0602. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Rule F0603. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

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

Rule F0604. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.

Rule F0605. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Rule F0607. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Respond appropriately to all alleged violations.

Rule F0610. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

Rule F0620. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

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. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

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

Rule F0623. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Prepare residents for a safe transfer or discharge from the nursing home.

Rule F0624. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Rule F0625. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Rule F0626. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

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. Correction date, as CMS recorded it: Sep 25, 2024.

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.

Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 20, 2024.

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

Rule F0740. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 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. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

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. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 29, 2024.

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Rule F0800. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 4, 2024.

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

Rule F0804. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 26, 2024.

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. Correction date, as CMS recorded it: Oct 1, 2024.

Dispose of garbage and refuse properly.

Rule F0814. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Rule F0841. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 20, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 20, 2024.

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

Rule F0883. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Oct 25, 2024.

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. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Rule F0921. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Nov 9, 2024.

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

Rule F0609. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Assist a resident in gaining access to vision and hearing services.

Rule F0685. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Provide appropriate foot care.

Rule F0687. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Rule F0691. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Provide safe and appropriate respiratory care for a resident when needed.

Rule F0695. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Nov 14, 2024.

Provide appropriate care/assistance for a resident with a prosthesis.

Rule F0696. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Rule F0698. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

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

Rule F0699. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Rule F0700. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Post nurse staffing information every day.

Rule F0732. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

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

Rule F0757. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Oct 29, 2024.

Provide routine and 24-hour emergency dental care for each resident.

Rule F0790. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Nov 4, 2024.

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Rule F0802. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Oct 1, 2024.

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.

Rule F0838. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Oct 31, 2024.

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Rule F0851. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Rule F0868. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Oct 1, 2024.

Have a Compliance and Ethics Program.

Rule F0895. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Sep 30, 2024.

Keep all essential equipment working safely.

Rule F0908. C: no actual harm, potential for minimal harm. Correction date, as CMS recorded it: Sep 25, 2024.