Woodstock Valley Health and Rehabilitation, WOODSTOCK, VA — Violations & Inspection Reports

Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

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

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

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

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

Observe each nurse aide's job performance and give regular training.

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

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

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 appropriate pressure ulcer care and prevent new ulcers from developing.

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

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

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.

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

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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.

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Provide and implement an infection prevention and control program.

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

Keep residents' personal and medical records private and confidential.

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

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

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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

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

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

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

Post nurse staffing information every day.

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

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

Ensure medication error rates are not 5 percent or greater.

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

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

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

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

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

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

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

Respond appropriately to all alleged violations.

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

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

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

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

Reasonably accommodate the needs and preferences of each resident.

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

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

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

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.

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

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 activities to meet all resident's needs.

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

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.

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

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