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.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 1, 2025
Implement a program that monitors antibiotic use.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 1, 2025
Provide and implement an infection prevention and control program.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Oct 1, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 1, 2025
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Oct 1, 2025
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Oct 1, 2025
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Severity C of L: potential for minimal harm, widespreadCorrected Oct 1, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Severity B of L: potential for minimal harm, patternCorrected Oct 1, 2025
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Severity B of L: potential for minimal harm, patternCorrected Oct 1, 2025
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Severity B of L: potential for minimal harm, patternCorrected Oct 1, 2025
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Severity B of L: potential for minimal harm, patternCorrected Oct 1, 2025
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Severity B of L: potential for minimal harm, patternCorrected Oct 1, 2025
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Severity B of L: potential for minimal harm, patternCorrected Oct 1, 2025