ORMSBY POST ACUTE REHABILITATION, CARSON CITY, NV — Violations & Inspection Reports

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

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

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

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

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

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.

Provide training in compliance and ethics.

Implement a program that monitors antibiotic use.

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

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.

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.

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

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

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

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

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

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

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

Provide and implement an infection prevention and control program.

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

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

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

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

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

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

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.

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

Ensure medication error rates are not 5 percent or greater.

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

Reasonably accommodate the needs and preferences of each resident.

Ensure that residents are fully informed and understand their health status, care and treatments.

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

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

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.

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

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Provide safe and appropriate respiratory care for a resident when needed.

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

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

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.

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

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

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

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

Ensure that residents are fully informed and understand their health status, care and treatments.