CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Madison Health and Rehabilitation Center
A list of the most recent deficiencies for Madison Health and Rehabilitation Center. 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 Madison Health and Rehabilitation Center. 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 pain management for a resident who requires such services. | Health | 2024-06-19 | 2024-08-01 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2024-06-19 | 2024-07-16 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-06-19 | 2024-07-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-19 | 2024-07-15 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-19 | 2024-07-15 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-19 | 2024-07-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-19 | 2024-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-19 | 2024-07-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-19 | 2024-07-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-07 | 2024-04-01 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-03-07 | 2024-04-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-04 | 2024-01-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-04 | 2024-01-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-01-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-21 | 2024-01-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-21 | 2024-01-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-17 | 2023-11-16 | N |
| 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 | 2023-10-17 | 2023-11-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-10-17 | 2023-11-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-17 | 2023-11-16 | N |
| 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. | Health | 2023-10-17 | 2023-11-16 | 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 | 2023-10-17 | 2023-11-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-17 | 2023-11-16 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-10-17 | 2023-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-17 | 2023-11-16 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-17 | 2023-11-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-12 | 2023-11-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-10-12 | 2023-11-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-12 | 2023-11-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-10-12 | 2023-11-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-10-12 | 2023-11-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-12 | 2023-11-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-10-12 | 2023-11-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-12 | 2023-11-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-12 | 2023-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-12 | 2023-11-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-12 | 2023-11-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-12 | 2023-11-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-12 | 2023-11-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-10-12 | 2023-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-12 | 2023-11-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-12 | 2023-11-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-30 | 2023-09-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-30 | 2023-09-12 | 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 | 2023-06-07 | 2023-07-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-07 | 2023-07-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-07 | 2023-07-03 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-07 | 2023-07-03 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-07 | 2023-07-03 | 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 | 2023-06-07 | 2023-07-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-04 | 2023-05-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-04 | 2023-05-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-04 | 2023-05-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-04 | 2023-05-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-04 | 2023-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-04 | 2023-05-31 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-04 | 2023-05-31 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-04 | 2023-05-31 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-05-04 | 2023-05-31 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-04 | 2023-05-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-04 | 2023-05-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-04 | 2023-05-31 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-03-23 | 2023-04-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-23 | 2023-04-17 | 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 | 2023-03-23 | 2023-04-17 | Y |
| Post nurse staffing information every day. | Health | 2023-03-23 | 2023-04-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-23 | 2023-04-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-23 | 2023-04-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-23 | 2023-04-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-23 | 2023-04-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-23 | 2023-04-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-27 | 2022-11-01 | N |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2022-07-27 | 2022-11-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-27 | 2022-11-01 | 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 | 2022-07-27 | 2022-11-01 | 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 | 2022-07-27 | 2022-11-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-27 | 2022-11-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-27 | 2022-11-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-27 | 2022-11-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-27 | 2022-11-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-27 | 2022-11-01 | 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 | 2022-07-27 | 2022-11-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-27 | 2022-11-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-27 | 2022-11-01 | 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 | 2022-07-27 | 2022-11-01 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-07-27 | 2022-11-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-27 | 2022-11-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-27 | 2022-11-01 | 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 | 2022-09-22 | 2022-11-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-22 | 2022-11-01 | 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 | 2022-09-22 | 2022-11-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-22 | 2022-11-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-22 | 2022-11-01 | Y |
| 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. | Health | 2022-09-22 | 2022-11-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-22 | 2022-11-01 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-09-22 | 2022-11-01 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-09-22 | 2022-11-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-22 | 2022-11-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-22 | 2022-11-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-22 | 2022-11-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-22 | 2022-11-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-22 | 2022-11-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-22 | 2022-11-01 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-22 | 2022-11-01 | 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 | 2022-09-22 | 2022-11-01 | 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 | 2022-09-22 | 2022-11-01 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-09-22 | 2022-11-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-22 | 2022-11-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-22 | 2022-11-01 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-09-22 | 2022-11-01 | Y |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2022-09-22 | 2022-11-01 | 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 | 2022-09-22 | 2022-11-01 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-09-22 | 2022-11-01 | 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 | 2022-09-22 | 2022-11-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-22 | 2022-11-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-22 | 2022-11-01 | 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 | 2022-09-22 | 2022-11-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-22 | 2022-11-01 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-22 | 2022-11-01 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-07-27 | 2022-08-24 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-07-27 | 2022-08-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-27 | 2022-08-24 | 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 | 2022-07-27 | 2022-08-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-27 | 2022-08-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-27 | 2022-08-24 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-27 | 2022-08-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-27 | 2022-08-24 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-07-27 | 2022-08-24 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-07-27 | 2022-08-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-07-27 | 2022-08-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-27 | 2022-08-24 | Y |
| Implement a program that monitors antibiotic use. | Health | 2022-07-27 | 2022-08-24 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-07-27 | 2022-08-24 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-27 | 2022-06-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-27 | 2022-06-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-27 | 2022-05-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-27 | 2022-05-25 | 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 | 2022-03-31 | 2022-04-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-24 | 2022-03-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-25 | 2022-02-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-25 | 2022-02-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-04 | 2022-01-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-04 | 2022-01-31 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2021-04-19 | 2022-01-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-02 | 2021-12-17 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-19 | 2021-06-11 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-04-19 | 2021-06-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-19 | 2021-06-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-04-19 | 2021-06-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-19 | 2021-06-11 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-04-19 | 2021-06-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-04-19 | 2021-06-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-19 | 2021-06-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-19 | 2021-06-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-04-19 | 2021-06-11 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-04-19 | 2021-06-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-19 | 2021-06-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-28 | 2021-06-04 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-04-28 | 2021-06-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-28 | 2021-06-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-28 | 2021-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-28 | 2021-06-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-28 | 2021-06-04 | N |
| 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. | Health | 2021-04-28 | 2021-06-04 | 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 | 2021-06-04 | 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 | 2021-04-28 | 2021-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-28 | 2021-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-28 | 2021-06-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-04-28 | 2021-06-04 | N |
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