LAYHILL NURSING AND REHABILITATION CENTER, SILVER SPRING, MD — Violations & Inspection Reports

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

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

Post nurse staffing information every day.

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

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

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

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

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

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

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.

Provide activities to meet all resident's needs.

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

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

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.

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

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

Keep all essential equipment working safely.

Provide and implement an infection prevention and control program.

Respond appropriately to all alleged violations.

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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.

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.

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

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.

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

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Ensure medication error rates are not 5 percent or greater.

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

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.