BELLE CARE NURSING AND REHABILITATION CENTER

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

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

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

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

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

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

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

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

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.

Implement a program that monitors antibiotic use.

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

Provide activities to meet all resident's needs.

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.

Provide and implement an infection prevention and control program.

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

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Provide safe, appropriate pain management for a resident who requires such services.

Ensure each resident receives an accurate assessment.

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.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

Ensure medication error rates are not 5 percent or greater.

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

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

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

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

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

Provide care and assistance to perform activities of daily living for any resident who is unable.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Respond appropriately to all alleged violations.

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

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

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

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

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.

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

Assure that each resident’s assessment is updated at least once every 3 months.

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

PASARR screening for Mental disorders or Intellectual Disabilities

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.

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

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