Cross Timbers Nursing and Rehabilitation

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.

Ensure each resident receives an accurate assessment.

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

PASARR screening for Mental disorders or Intellectual Disabilities

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.

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 necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

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

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Ensure that residents are free from significant medication errors.

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

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

Make sure that a working call system is available in each resident's bathroom and bathing area.

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.

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