WECARE AT MURRYSVILLE REHAB AND NURSING CENTER

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

Have enough backup water supply for essential areas of the nursing home.

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

Provide and implement an infection prevention and control program.

Respond appropriately to all alleged violations.

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

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

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

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.

Keep all essential equipment working safely.

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

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

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

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

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Make sure that a working call system is available in each resident's bathroom and bathing area.

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

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.

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.

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

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

Ensure each resident receives an accurate assessment.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Provide enough food/fluids to maintain a resident's health.

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

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.

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 each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

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

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

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

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.

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

Respond appropriately to all alleged violations.

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

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