Colony Center for Health and Rehabilitation

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.

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

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

Provide and implement an infection prevention and control program.

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

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

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

Provide care or services that was trauma informed and/or culturally competent.

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

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Respond appropriately to all alleged violations.

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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.

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

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

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

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

Provide training in compliance and ethics.

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

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.

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

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

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

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

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

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

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

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

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Provide care or services that was trauma informed and/or culturally competent.

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

Provide or get specialized rehabilitative services as required for a resident.

Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Assure that each resident’s assessment is updated at least once every 3 months.

Ensure each resident receives an accurate assessment.

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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.