Spokane Health & Rehabilitation

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

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

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.

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

Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

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

Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

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

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.

Give residents a notice of rights, rules, services and charges.

Implement a program that monitors antibiotic use.

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

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

Post nurse staffing information every day.

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

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

Provide information about how to apply for and use Medicare and Medicaid benefits.

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.

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.

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

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

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

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.

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.

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.

Keep all essential equipment working safely.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

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

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

PASARR screening for Mental disorders or Intellectual Disabilities

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Provide appropriate care/assistance for a resident with a prosthesis.

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

Allow residents to self-administer drugs if determined clinically appropriate.

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

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

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

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

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

Respond appropriately to all alleged violations.

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

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

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

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

Provide and implement an infection prevention and control program.

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.

Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

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

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

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

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

Implement a program that monitors antibiotic use.