Mt Macrina Manor

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.

Implement a program that monitors antibiotic use.

Provide and implement an infection prevention and control program.

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

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

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

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

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

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

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

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

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

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.