CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for North Village Park
View the most recent health deficiencies and inspection results for North Village Park. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for North Village Park. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-19 | 2026-02-20 | Y |
| 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. | Health | 2026-02-19 | 2026-02-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-12 | 2026-02-06 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2025-12-12 | 2026-01-26 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2026-01-16 | 2026-01-26 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2025-12-12 | 2026-01-26 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2025-12-12 | 2026-01-26 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-12-12 | 2026-01-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-12-12 | 2026-01-26 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-12 | 2026-01-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-12-12 | 2026-01-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-12-12 | 2026-01-26 | N |
| 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. | Health | 2025-12-12 | 2026-01-26 | N |
| Post nurse staffing information every day. | Health | 2025-12-12 | 2026-01-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| 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. | Health | 2025-12-12 | 2026-01-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-12-12 | 2026-01-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-12 | 2026-01-26 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-12-12 | 2026-01-26 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-12-12 | 2026-01-26 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-12-12 | 2026-01-26 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-12-12 | 2026-01-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-12 | 2026-01-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-12 | 2026-01-26 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-12-12 | 2026-01-26 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Meet other general requirements. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-12-12 | 2026-01-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-01-16 | 2026-01-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-04 | 2026-01-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-11-18 | 2025-12-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-04 | 2025-12-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-04 | 2025-12-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-18 | 2025-11-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-13 | 2025-09-05 | Y |
| 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. | Health | 2025-08-13 | 2025-09-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-08-13 | 2025-09-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-10 | 2025-08-05 | Y |
| 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. | Health | 2025-07-29 | 2025-08-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-07-29 | 2025-08-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-29 | 2025-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-10 | 2025-08-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-01 | 2025-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-01 | 2025-08-05 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2025-07-01 | 2025-08-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-05-29 | 2025-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-29 | 2025-08-05 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2025-05-29 | 2025-08-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-29 | 2025-06-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-04-24 | 2025-05-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-24 | 2025-04-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-03-06 | 2025-03-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-09 | 2025-02-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-03 | 2024-10-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-03 | 2024-10-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-29 | 2024-09-12 | Y |
| 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. | Health | 2024-07-29 | 2024-09-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-29 | 2024-09-12 | Y |
| 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. | Health | 2024-06-20 | 2024-07-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-20 | 2024-07-29 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-05-15 | 2024-05-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-27 | 2024-05-03 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-03-27 | 2024-05-03 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-03-27 | 2024-05-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-14 | 2024-04-22 | Y |
| 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. | Health | 2024-03-14 | 2024-04-22 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-11-20 | 2024-01-24 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-20 | 2024-01-24 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-20 | 2024-01-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-20 | 2024-01-24 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2023-11-20 | 2024-01-24 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-20 | 2024-01-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-20 | 2024-01-24 | Y |
| 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. | Health | 2023-11-20 | 2024-01-24 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-11-20 | 2024-01-24 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2023-11-20 | 2024-01-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-20 | 2024-01-24 | N |
| Dispose of garbage and refuse properly. | Health | 2023-11-20 | 2024-01-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-20 | 2024-01-24 | N |
| 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. | Health | 2023-11-20 | 2024-01-24 | N |
| 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. | Health | 2023-11-20 | 2024-01-24 | N |
| 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. | Health | 2023-11-20 | 2024-01-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-20 | 2024-01-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-20 | 2024-01-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-20 | 2024-01-24 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-20 | 2024-01-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-11-20 | 2024-01-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-20 | 2024-01-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-20 | 2024-01-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-20 | 2024-01-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-20 | 2024-01-24 | N |
| Use approved construction type or materials. | Fire Safety | 2023-11-20 | 2024-01-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-20 | 2024-01-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-20 | 2024-01-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-20 | 2024-01-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-20 | 2024-01-24 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-20 | 2024-01-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-23 | 2023-10-03 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-05-24 | 2023-06-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-24 | 2023-06-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-24 | 2023-06-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-20 | 2023-06-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-15 | 2021-09-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-15 | 2021-09-24 | N |
| 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. | Health | 2021-04-15 | 2021-09-24 | N |
| 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. | Health | 2021-04-15 | 2021-09-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-15 | 2021-09-24 | N |
| 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. | Health | 2021-04-15 | 2021-09-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-15 | 2021-09-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-15 | 2021-09-24 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-04-15 | 2021-09-24 | N |
| Use approved construction type or materials. | Fire Safety | 2021-04-15 | 2021-09-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-15 | 2021-09-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-15 | 2021-09-24 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-04-15 | 2021-09-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-04-15 | 2021-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-15 | 2021-09-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-15 | 2021-08-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-15 | 2021-07-05 | N |
| 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. | Health | 2021-04-15 | 2021-07-05 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-15 | 2021-07-05 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-04-15 | 2021-07-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-15 | 2021-07-05 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-04-15 | 2021-07-05 | N |
| 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. | Health | 2021-04-15 | 2021-07-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-04-15 | 2021-07-05 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-15 | 2021-07-05 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2021-04-15 | 2021-07-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-15 | 2021-07-05 | N |
| 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. | Health | 2021-04-15 | 2021-07-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-15 | 2021-07-05 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2021-04-15 | 2021-07-05 | N |
| 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. | Health | 2021-04-15 | 2021-07-05 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-04-15 | 2021-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-15 | 2021-07-05 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-04-15 | 2021-07-05 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-04-15 | 2021-07-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-15 | 2021-07-05 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-04-15 | 2021-07-05 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-04-15 | 2021-07-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-15 | 2021-07-05 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-04-15 | 2021-07-05 | N |
| Meet other general requirements. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-15 | 2021-07-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-04-15 | 2021-07-05 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-04-15 | 2021-07-05 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2021-04-15 | 2021-07-05 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-04-15 | 2021-07-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-15 | 2021-07-05 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-04-15 | 2021-07-05 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-04-15 | 2021-07-05 | N |
| Respond appropriately to all alleged violations. | Health | 2021-04-15 | 2021-07-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-04-15 | 2021-07-05 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-04-15 | 2021-07-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-15 | 2021-07-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-26 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-04 | Not Fixed | Y |