The following information provides a general description of the areas in which performance issues were found. Each of these areas typically has many specific requirements. The area is listed if one or more of the specific requirements were determined to require improvement.

• Entries in the clinical/case record are authenticated.
• For organizations providing food services: The organization has a process for preparing and/or distributing food and nutrition products.
• Qualified staff receive and record verbal orders. Note: Verbal orders may include medication, laboratory tests, dietary, or restraint and seclusion.
• Reduce the risk for suicide.
• Staff performing waived tests are competent.
• The clinical/case record contains information that reflects the care, treatment, or services provided to the individual served.
• The organization assesses the outcomes of care, treatment, or services provided to the individual served.
• The organization coordinates the care, treatment, or services provided to an individual served as part of the plan for care, treatment, or services and in a manner consistent with the organization's scope of care, treatment, or services. (For more information, refer to Standard CTS.03.01.07.)
• The organization determines how staff function within the organization.
• The organization develops written job descriptions.
• The organization establishes and maintains a safe, functional environment.
• The organization facilitates staff receiving the influenza vaccination. Note: This standard is not applicable to staff providing care, treatment, or services off site through telephone consultation or technology-based services.
• The organization has a plan for care, treatment, or services that reflects the assessed needs, strengths, preferences, and goals of the individual served.
• The organization has policies and procedures that guide and support care, treatment, or services.
• The organization implements its infection prevention and control plan.
• The organization safely manages emergency medications and supplies.
• The organization safely stores medications. Note: This standard is applicable only to organizations that store medications at their sites.