South Mountain Rehab Center

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

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.

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

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

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

Respond appropriately to all alleged violations.

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

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Provide and implement an infection prevention and control program.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

Ensure each resident receives an accurate assessment.

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

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

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.

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

Provide activities to meet all resident's needs.

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Provide care or services that was trauma informed and/or culturally competent.

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

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

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

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

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

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

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.

Ensure medication error rates are not 5 percent or greater.

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.

PASARR screening for Mental disorders or Intellectual Disabilities