Yellowstone River Nursing and Rehabilitation

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

Hire a qualified full-time social worker in a facility with more than 120 beds.

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

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

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

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

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

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

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.

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

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

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

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

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

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.

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

Respond appropriately to all alleged violations.

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

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

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

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

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

Provide a bathroom in or located near each resident’s room.

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.

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.

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

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

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

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.

Ensure medication error rates are not 5 percent or greater.

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Provide and implement an infection prevention and control program.

Provide appropriate foot care.

Keep all essential equipment working safely.

Reasonably accommodate the needs and preferences of each resident.

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

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

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

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.