Pike Creek Nursing & Rehabilitation Center

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 residents are free from significant medication errors.

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

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

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 training in compliance and ethics.

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

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

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

Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

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

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

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

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

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

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

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

Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

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

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

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

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Provide or obtain dental services for each resident.

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

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

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.

Provide care and assistance to perform activities of daily living for any resident who is unable.

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

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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