Reasonably accommodate the needs and preferences of each resident.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Provide immediate access to any resident.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Honor the resident's right to manage his or her financial affairs.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Assure the security of all personal funds of residents deposited with the facility.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Give residents a notice of rights, rules, services and charges.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2024
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
The resident has the right to receive notices in a format and a language he or she understands.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Ensure residents have reasonable access to and privacy in their use of communication methods.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 23, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2024
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.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2024
Provide information about how to apply for and use Medicare and Medicaid benefits.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 23, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 23, 2024
Keep residents' personal and medical records private and confidential.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
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.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 16, 2024
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 23, 2024
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 23, 2024
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 15, 2024
Provide routine and 24-hour emergency dental care for each resident.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Sep 20, 2024
Provide and implement an infection prevention and control program.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 23, 2024
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 23, 2024
Give the resident's representative the ability to exercise the resident's rights.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 11, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Allow residents to self-administer drugs if determined clinically appropriate.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Honor the resident's right to choose his or her attending physician.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 8, 2024
Ensure that testing and maintenance of electrical equipment is performed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 23, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 23, 2024
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 23, 2024
Install proper backup exit lighting.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 19, 2024
Provide properly protected cooking facilities.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 18, 2024
Have generator or other power source capable of supplying service within 10 seconds.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Sep 16, 2024
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 3, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 23, 2024
Post nurse staffing information every day.
Severity C of L: potential for minimal harm, widespreadCorrected Sep 12, 2024
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Severity C of L: potential for minimal harm, widespreadCorrected Oct 3, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Severity C of L: potential for minimal harm, widespreadCorrected Oct 10, 2024