ASPIRE SENIOR LIVING EXCELSIOR SPRINGS

Employ staff that are licensed, certified, or registered in accordance with state laws.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

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

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.

Have a plan that describes the process for conducting QAPI and QAA activities.

Have enough outside ventilation via a window or mechanical ventilation, or both.

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.

Observe each nurse aide's job performance and give regular training.

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

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

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

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

Plan the resident's discharge to meet the resident's goals and needs.

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

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

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Ensure staff are vaccinated for COVID-19

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.

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

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

Provide and implement an infection prevention and control program.

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

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.