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Deficiency Records for Watseka Rehab and Hlth Care Ctr

A list of the most recent deficiencies for Watseka Rehab and Hlth Care Ctr. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Watseka Rehab and Hlth Care Ctr. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-08-28 2024-09-20 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-08-28 2024-09-20 Y
Provide and implement an infection prevention and control program. Health 2024-08-28 2024-09-20 Y
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2024-08-28 2024-09-20 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-08-28 2024-09-20 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-08-28 2024-09-16 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-08-28 2024-09-13 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-28 2024-09-13 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-07-17 2024-07-25 Y
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. Health 2024-05-03 2024-05-30 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-05-16 2024-05-20 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-05-03 2024-05-20 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-05-03 2024-05-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-03 2024-05-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-07 2024-05-20 Y
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. Health 2024-04-26 2024-05-06 Y
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. Health 2024-04-18 2024-05-06 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-04-15 2024-05-01 Y
Provide or get specialized rehabilitative services as required for a resident. Health 2024-03-20 2024-04-09 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-03-20 2024-03-29 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-01-24 2024-03-02 Y
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. Health 2024-02-07 2024-02-22 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-24 2024-02-22 Y
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. Health 2024-01-24 2024-02-22 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-01-24 2024-02-22 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-12-18 2023-12-28 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-12-18 2023-12-28 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-18 2023-12-28 Y
Respond appropriately to all alleged violations. Health 2023-12-18 2023-12-28 Y
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-10-17 2023-11-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-10-04 2023-11-03 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-04 2023-11-03 Y
Provide and implement an infection prevention and control program. Health 2023-10-04 2023-11-03 Y
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-10-04 2023-11-03 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-10-13 2023-11-03 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-10-13 2023-11-03 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-13 2023-11-03 N
Respond appropriately to all alleged violations. Health 2023-10-13 2023-11-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-10-13 2023-11-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-13 2023-11-03 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-10-13 2023-11-03 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-10-13 2023-11-03 N
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. Health 2023-10-13 2023-11-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-13 2023-11-03 N
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2023-10-13 2023-11-03 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-10-13 2023-11-03 N
Provide family notifications of emergency plan. Fire Safety 2023-10-17 2023-11-03 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-10-17 2023-11-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-17 2023-11-03 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-10-17 2023-11-03 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-10-17 2023-11-03 N
Have proper medical gas storage and administration areas. Fire Safety 2023-10-17 2023-11-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-05 2023-08-29 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-04-05 2023-08-29 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-04-05 2023-08-29 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-06-29 2023-08-18 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-29 2023-08-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-29 2023-08-18 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-14 2023-08-18 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-24 2023-08-18 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-05-24 2023-08-18 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-18 2023-08-18 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2023-05-18 2023-08-18 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-06-29 2023-08-02 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-06-14 2023-08-02 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-06-14 2023-08-02 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-06-14 2023-08-02 Y
Respond appropriately to all alleged violations. Health 2023-06-14 2023-08-02 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-06-14 2023-08-02 Y
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. Health 2023-06-14 2023-08-02 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-06-14 2023-08-02 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-06-14 2023-08-02 Y
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2023-06-14 2023-08-02 Y
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2023-06-14 2023-08-02 Y
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-06-14 2023-08-02 Y
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2023-06-14 2023-08-02 Y
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-06-14 2023-08-02 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-24 2023-08-02 Y
Ensure that residents are free from significant medication errors. Health 2023-05-24 2023-08-02 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-05-18 2023-08-02 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-05-18 2023-08-02 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-05-18 2023-08-02 Y
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2023-04-14 2023-05-08 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-04-05 2023-04-28 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-03-30 2023-04-18 Y
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. Health 2023-03-30 2023-04-18 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-02-09 2023-02-24 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-02-09 2023-02-24 Y
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. Health 2023-01-27 2023-02-17 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-09-21 2022-11-30 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-09-21 2022-11-30 N
Ensure medication error rates are not 5 percent or greater. Health 2022-09-21 2022-11-30 N
Ensure that residents are free from significant medication errors. Health 2022-09-21 2022-11-30 N
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. Health 2022-09-21 2022-11-30 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-09-21 2022-11-30 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-09-21 2022-11-30 N
Provide and implement an infection prevention and control program. Health 2022-09-21 2022-11-30 Y
Respond appropriately to all alleged violations. Health 2022-09-11 2022-11-30 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-08-04 2022-11-30 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-08-04 2022-11-30 Y
Respond appropriately to all alleged violations. Health 2022-08-04 2022-11-30 Y
Ensure medication error rates are not 5 percent or greater. Health 2022-08-04 2022-11-30 Y
Ensure that residents are free from significant medication errors. Health 2022-08-04 2022-11-30 Y
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. Health 2022-08-04 2022-11-30 Y
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-08-04 2022-11-30 Y
Provide or get specialized rehabilitative services as required for a resident. Health 2022-08-04 2022-11-30 Y
Provide and implement an infection prevention and control program. Health 2022-07-21 2022-11-30 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-07-07 2022-11-30 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-07-07 2022-11-30 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-07-07 2022-11-30 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-07-07 2022-11-30 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-10-17 2022-11-17 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-21 2022-11-17 N
Ensure each resident receives an accurate assessment. Health 2022-09-21 2022-11-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-21 2022-11-17 N
Provide care by qualified persons according to each resident's written plan of care. Health 2022-09-21 2022-11-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-21 2022-11-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-21 2022-11-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-21 2022-11-17 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-09-21 2022-11-17 N
Provide enough food/fluids to maintain a resident's health. Health 2022-09-21 2022-11-17 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2022-09-21 2022-11-17 N
Post nurse staffing information every day. Health 2022-09-21 2022-11-17 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-09-21 2022-11-17 N
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. Health 2022-09-21 2022-11-17 N
Implement a program that monitors antibiotic use. Health 2022-09-21 2022-11-17 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-09-21 2022-11-17 N
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. Health 2022-09-21 2022-11-17 N
Ensure staff are vaccinated for COVID-19 Health 2022-09-21 2022-11-17 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-09-21 2022-11-17 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-09-21 2022-11-17 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-09-21 2022-11-17 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-09-11 2022-11-17 Y
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-09-11 2022-11-17 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-08-04 2022-11-17 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-08-04 2022-11-17 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-04 2022-11-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-04 2022-11-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-04 2022-11-17 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-08-04 2022-11-17 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-08-04 2022-11-17 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-07-21 2022-11-17 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-07-21 2022-11-17 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2022-07-21 2022-11-17 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-07-07 2022-11-17 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-07-07 2022-11-17 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-07-07 2022-11-17 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-07 2022-11-17 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-09-20 2022-10-10 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-09-20 2022-10-10 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2022-09-20 2022-10-10 N
Establish policies and procedures for volunteers. Fire Safety 2022-09-20 2022-10-10 N
Develop a communication plan. Fire Safety 2022-09-20 2022-10-10 N
Provide family notifications of emergency plan. Fire Safety 2022-09-20 2022-10-10 N
Establish emergency prep training and testing. Fire Safety 2022-09-20 2022-10-10 N
Establish staff and initial training requirements. Fire Safety 2022-09-20 2022-10-10 N
Conduct testing and exercise requirements. Fire Safety 2022-09-20 2022-10-10 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-09-20 2022-10-10 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-09-20 2022-10-10 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-05-17 2022-06-03 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-05-17 2022-06-03 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-17 2022-06-03 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-05-17 2022-06-03 Y
Ensure medication error rates are not 5 percent or greater. Health 2022-05-17 2022-06-03 Y
Ensure that residents are free from significant medication errors. Health 2022-05-17 2022-06-03 Y
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. Health 2022-05-17 2022-06-03 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-03-30 2022-04-15 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-03-30 2022-04-15 Y
Respond appropriately to all alleged violations. Health 2022-03-30 2022-04-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-30 2022-04-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-14 2022-01-28 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-12-21 2022-01-14 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-12-14 2022-01-14 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-12-14 2022-01-14 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2021-12-14 2022-01-14 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-12-14 2022-01-14 Y
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. Health 2021-12-14 2022-01-14 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-12-14 2022-01-06 Y
Post nurse staffing information every day. Health 2021-12-14 2022-01-06 Y
Provide and implement an infection prevention and control program. Health 2021-12-01 2021-12-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-04 2021-11-01 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2021-10-04 2021-10-29 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-10-04 2021-10-29 Y
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2021-08-12 2021-09-14 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-08-12 2021-09-14 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2021-08-12 2021-09-14 N
Ensure each resident receives an accurate assessment. Health 2021-08-12 2021-09-14 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-08-12 2021-09-14 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2021-08-12 2021-09-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-08-12 2021-09-14 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-08-12 2021-09-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-08-12 2021-09-14 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2021-08-12 2021-09-14 N
Provide enough food/fluids to maintain a resident's health. Health 2021-08-12 2021-09-14 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-08-12 2021-09-14 N
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. Health 2021-08-12 2021-09-14 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-08-12 2021-09-14 N
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. Health 2021-08-12 2021-09-14 N
Ensure medication error rates are not 5 percent or greater. Health 2021-08-12 2021-09-14 N
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. Health 2021-08-12 2021-09-14 N
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. Health 2021-08-12 2021-09-14 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2021-08-12 2021-09-14 N
Provide and implement an infection prevention and control program. Health 2021-08-12 2021-09-14 N
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. Health 2021-08-12 2021-09-14 N
Create arrangements with other facilities to receive patients. Fire Safety 2021-08-10 2021-09-10 N
Provide emergency officials' contact information. Fire Safety 2021-08-10 2021-09-10 N
Provide primary/alternate means for communication. Fire Safety 2021-08-10 2021-09-10 N
Establish staff and initial training requirements. Fire Safety 2021-08-10 2021-09-10 N
Conduct testing and exercise requirements. Fire Safety 2021-08-10 2021-09-10 N
Implement emergency and standby power systems. Fire Safety 2021-08-10 2021-09-10 N
Provide properly protected cooking facilities. Fire Safety 2021-08-10 2021-09-10 N

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