North Bay Post Acute

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

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

Provide and implement an infection prevention and control program.

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

Respond appropriately to all alleged violations.

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

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

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

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.

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

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

Provide and implement an infection prevention and control program.

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.

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

Ensure medication error rates are not 5 percent or greater.

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Ensure each resident receives an accurate assessment.

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.

Implement a program that monitors antibiotic use.

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.

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.

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

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

Ensure that residents are free from significant medication errors.

Reasonably accommodate the needs and preferences of each resident.

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

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

Ensure that residents are fully informed and understand their health status, care and treatments.

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

Provide or obtain dental services for each resident.

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

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

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Assist a resident in gaining access to vision and hearing services.

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

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

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

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

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

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.

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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