BELOVED HEALTH AND REHABILITATION CENTER, HANNIBAL, MO — Violations & Inspection Reports

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

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

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

Provide and implement an infection prevention and control program.

Give residents a notice of rights, rules, services and charges.

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

Assure the security of all personal funds of residents deposited with the facility.

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.

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.

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

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

Honor the resident's right to manage his or her financial affairs.

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

Ensure each resident receives an accurate assessment.

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

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

Provide training in compliance and ethics.

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

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

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

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.

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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.

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

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

Provide appropriate foot care.

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.

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

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.

Protect each resident from the wrongful use of the resident's belongings or money.

Reasonably accommodate the needs and preferences of each resident.

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.

Provide or obtain dental services for each resident.

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

Assist a resident in gaining access to vision and hearing services.

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

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

Assess the resident when there is a significant change in condition

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

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

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.

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

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.