Meadow Brook Rehabilitation and Nursing

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.

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

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Prepare residents for a safe transfer or discharge from the nursing home.

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

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.

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

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

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

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.

Respond appropriately to all alleged violations.

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

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.

Provide and implement an infection prevention and control program.

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

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

Implement a program that monitors antibiotic use.

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

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

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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.

Have enough outside ventilation via a window or mechanical ventilation, or both.

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Honor the resident's right to organize and participate in resident/family groups in the facility.

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

Keep all essential equipment working safely.

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

Reasonably accommodate the needs and preferences of each resident.

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

Provide timely, quality laboratory services/tests to meet the needs of residents.

Provide activities to meet all resident's needs.

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

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

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

Plan the resident's discharge to meet the resident's goals and needs.

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

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Provide appropriate foot care.

Ensure that residents are free from significant medication errors.

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