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Deficiency Records for Bloomington Rehabilitation and Hcc

A list of the most recent deficiencies for Bloomington Rehabilitation and Hcc. 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 Bloomington Rehabilitation and Hcc. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-08-22 2024-09-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-22 2024-09-20 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 2024-08-22 2024-09-20 Y
Provide and implement an infection prevention and control program. Health 2024-08-22 2024-09-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-08-14 2024-08-26 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-30 2024-08-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-20 2024-07-10 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-06-20 2024-07-10 Y
Respond appropriately to all alleged violations. Health 2024-02-14 2024-03-05 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-14 2024-03-05 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-02-14 2024-03-04 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-02-14 2024-03-04 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-02-14 2024-03-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-14 2024-03-04 Y
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2024-02-14 2024-03-04 Y
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Health 2024-02-14 2024-03-04 Y
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2024-02-14 2024-03-04 Y
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Health 2024-02-14 2024-03-04 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-01-09 2024-03-04 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-09 2024-03-04 Y
Respond appropriately to all alleged violations. Health 2024-01-09 2024-03-04 Y
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2024-01-09 2024-03-04 Y
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2024-01-09 2024-03-04 Y
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Health 2024-01-09 2024-03-04 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-11 2024-03-04 Y
Respond appropriately to all alleged violations. Health 2023-10-24 2024-03-04 Y
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. Health 2024-01-09 2024-02-02 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-09 2024-02-02 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-09 2024-02-02 Y
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2024-01-09 2024-02-02 Y
Provide enough food/fluids to maintain a resident's health. Health 2024-01-09 2024-02-02 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 2024-01-09 2024-02-02 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-09 2024-02-02 Y
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2024-01-09 2024-02-02 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 2024-01-09 2024-02-02 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-01-09 2024-02-02 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-01-09 2024-02-02 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-01-09 2024-02-02 Y
Provide and implement an infection prevention and control program. Health 2024-01-09 2024-02-02 Y
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Health 2024-01-09 2024-02-02 Y
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2024-01-09 2024-02-02 Y
Provide training in compliance and ethics. Health 2024-01-09 2024-02-02 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 2024-01-09 2024-02-02 Y
Provide and implement an infection prevention and control program. Health 2023-12-17 2024-01-07 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-12-11 2024-01-01 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-11 2024-01-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-11 2024-01-01 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 2023-12-11 2024-01-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-24 2023-12-21 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-10-24 2023-12-21 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-10-24 2023-12-05 Y
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 2023-11-05 2023-11-24 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-08-09 2023-10-05 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-09-29 2023-10-05 Y
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2023-08-22 2023-09-15 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-08-09 2023-09-05 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-08-09 2023-09-05 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-08-09 2023-09-05 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-08-09 2023-09-05 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-08-09 2023-09-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-09 2023-09-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-09 2023-09-05 N
Provide activities to meet all resident's needs. Health 2023-08-09 2023-09-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-09 2023-09-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-09 2023-09-05 N
Post nurse staffing information every day. Health 2023-08-09 2023-09-05 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 2023-08-09 2023-09-05 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 2023-08-09 2023-09-05 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 2023-08-09 2023-09-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-09 2023-09-05 N
Provide or get specialized rehabilitative services as required for a resident. Health 2023-08-09 2023-09-05 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-09 2023-09-05 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-08-09 2023-09-05 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-08-09 2023-09-05 N
Provide and implement an infection prevention and control program. Health 2023-08-09 2023-09-05 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2023-08-09 2023-09-05 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-08-09 2023-09-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-09 2023-09-05 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-08-15 2023-09-05 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2023-08-15 2023-09-05 N
Develop a communication plan. Fire Safety 2023-08-15 2023-09-05 N
Establish emergency prep training and testing. Fire Safety 2023-08-15 2023-09-05 N
Establish staff and initial training requirements. Fire Safety 2023-08-15 2023-09-05 N
Conduct testing and exercise requirements. Fire Safety 2023-08-15 2023-09-05 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-08-15 2023-09-05 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-08-15 2023-09-05 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-08-15 2023-09-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-08-15 2023-09-05 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-08-15 2023-09-05 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-15 2023-09-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-15 2023-09-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-06-11 2023-07-13 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-11 2023-07-13 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 2023-06-11 2023-07-13 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-06-11 2023-07-13 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-04-25 2023-05-12 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-04-25 2023-05-10 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-04-25 2023-05-10 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-04-25 2023-05-10 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-04-25 2023-05-10 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-04-25 2023-05-10 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-25 2023-05-10 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-04-25 2023-05-10 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-04-25 2023-05-10 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-04-25 2023-05-10 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-04-05 2023-04-23 Y
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. Health 2023-02-23 2023-03-18 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-23 2023-03-18 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-02-23 2023-03-18 Y
Provide or get specialized rehabilitative services as required for a resident. Health 2023-02-23 2023-03-18 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-01-10 2023-02-02 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-01-10 2023-02-02 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-01-10 2023-02-02 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-01-10 2023-02-02 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-01-10 2023-02-02 Y
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-01-10 2023-02-02 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 2023-01-10 2023-02-02 Y
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. Health 2022-12-07 2022-12-31 Y
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-12-07 2022-12-31 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-11-20 2022-12-10 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-10-04 2022-10-25 Y
Respond appropriately to all alleged violations. Health 2022-10-04 2022-10-25 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-07-27 2022-09-28 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2022-07-27 2022-09-28 N
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. Health 2022-08-10 2022-09-02 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-10 2022-09-02 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-10 2022-09-02 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-08-10 2022-09-02 Y
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 2022-08-10 2022-09-02 Y
Provide or get specialized rehabilitative services as required for a resident. Health 2022-08-10 2022-09-02 Y
Provide and implement an infection prevention and control program. Health 2022-08-10 2022-09-02 Y
Establish staff and initial training requirements. Fire Safety 2022-07-21 2022-08-23 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-07-21 2022-08-23 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-07-21 2022-08-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-07-21 2022-08-23 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-07-27 2022-08-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-07-27 2022-08-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-27 2022-08-17 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 2022-07-27 2022-08-17 N
Post nurse staffing information every day. Health 2022-07-27 2022-08-17 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2022-07-27 2022-08-17 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-07-27 2022-08-17 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 2022-07-27 2022-08-17 N
Ensure medication error rates are not 5 percent or greater. Health 2022-07-27 2022-08-17 N
Ensure that residents are free from significant medication errors. Health 2022-07-27 2022-08-17 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 2022-07-27 2022-08-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-27 2022-08-17 N
Provide or get specialized rehabilitative services as required for a resident. Health 2022-07-27 2022-08-17 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-07-27 2022-08-17 N
Provide and implement an infection prevention and control program. Health 2022-07-27 2022-08-17 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-07-27 2022-08-17 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-07-27 2022-08-17 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-07-27 2022-08-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-04-19 2022-05-13 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 2022-04-19 2022-05-13 Y
Ensure medication error rates are not 5 percent or greater. Health 2022-04-19 2022-05-13 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2022-04-19 2022-05-13 Y
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 2022-04-19 2022-05-13 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-04-19 2022-05-13 Y
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2022-04-19 2022-05-13 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-04-19 2022-05-13 Y
Provide and implement an infection prevention and control program. Health 2022-04-19 2022-05-13 Y
Ensure staff are vaccinated for COVID-19 Health 2022-04-19 2022-05-13 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-03-09 2022-03-21 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-09 2022-03-21 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-02-23 2022-03-16 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-02-23 2022-03-16 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-23 2022-03-16 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-02-23 2022-03-16 Y
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 2022-02-23 2022-03-16 Y
Provide and implement an infection prevention and control program. Health 2022-02-23 2022-03-16 Y
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-02-23 2022-03-16 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-02-23 2022-03-16 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-01-05 2022-01-21 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-01-05 2022-01-21 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-01-05 2022-01-21 Y
Respond appropriately to all alleged violations. Health 2022-01-05 2022-01-21 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-14 2021-12-14 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-10-14 2021-11-01 Y
Ensure that residents are free from significant medication errors. Health 2021-10-14 2021-11-01 Y
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 2021-10-14 2021-11-01 Y
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 2021-10-14 2021-11-01 Y
Conduct testing and exercise requirements. Fire Safety 2021-05-06 2021-06-10 N
Address patient/client population and determine types of services needed. Fire Safety 2021-05-06 2021-05-22 N
Address subsistence needs for staff and patients. Fire Safety 2021-05-06 2021-05-22 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2021-05-06 2021-05-22 N
Provide family notifications of emergency plan. Fire Safety 2021-05-06 2021-05-22 N
Establish staff and initial training requirements. Fire Safety 2021-05-06 2021-05-22 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2021-05-06 2021-05-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-05-06 2021-05-22 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2021-04-28 2021-05-21 N
Keep residents' personal and medical records private and confidential. Health 2021-04-28 2021-05-21 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-04-28 2021-05-21 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-04-28 2021-05-21 N
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 2021-04-28 2021-05-21 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 2021-04-28 2021-05-21 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 2021-04-28 2021-05-21 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2021-04-28 2021-05-21 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2021-04-28 2021-05-21 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2021-04-28 2021-05-21 N

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