Grace Healthcare Center

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

Provide enough food/fluids to maintain a resident's health.

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.

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

Provide and implement an infection prevention and control program.

Have policies on smoking.

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

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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

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

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

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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.

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Observe each nurse aide's job performance and give regular training.

Ensure each resident receives an accurate assessment.

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

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

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.

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

Protect each resident from the wrongful use of the resident's belongings or money.

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

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

Provide and implement an infection prevention and control program.

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

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

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

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

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.

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Provide and implement an infection prevention and control program.

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.

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

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

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

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

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.

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

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Keep all essential equipment working safely.

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents.

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

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.