CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Bradley Estates Nursing and Rehab LLC
View the most recent health deficiencies and inspection results for Bradley Estates Nursing and Rehab LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bradley Estates Nursing and Rehab LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-09-17 | 2026-03-20 | N |
| Respond appropriately to all alleged violations. | Health | 2025-12-30 | 2026-01-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-30 | 2026-01-28 | Y |
| 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. | Health | 2025-12-30 | 2026-01-28 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-12-30 | 2026-01-28 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-09-17 | 2025-10-16 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2025-09-17 | 2025-10-16 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-09-17 | 2025-10-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-09-17 | 2025-10-16 | N |
| 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. | Health | 2025-09-17 | 2025-10-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-09-17 | 2025-10-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-09-17 | 2025-10-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-09-17 | 2025-10-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-09-17 | 2025-10-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-09-17 | 2025-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-17 | 2025-10-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-09-17 | 2025-10-16 | N |
| 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. | Health | 2025-09-17 | 2025-10-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-17 | 2025-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-17 | 2025-10-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-09-17 | 2025-10-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-09-17 | 2025-10-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-09-17 | 2025-10-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-09-17 | 2025-10-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-09-17 | 2025-10-03 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-09-17 | 2025-10-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-09-17 | 2025-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-17 | 2025-10-02 | N |
| Respond appropriately to all alleged violations. | Health | 2025-08-20 | 2025-09-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-20 | 2025-09-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-20 | 2025-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-11 | 2025-08-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-07-11 | 2025-08-08 | Y |
| 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. | Health | 2025-07-11 | 2025-08-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-10 | 2025-07-04 | Y |
| 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. | Health | 2025-06-10 | 2025-07-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-06-10 | 2025-07-04 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-06-10 | 2025-07-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-01 | 2025-04-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-01 | 2025-04-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-01 | 2025-04-10 | Y |
| 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. | Health | 2025-04-01 | 2025-04-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-01 | 2025-04-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-01 | 2025-04-10 | Y |
| 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. | Health | 2025-04-01 | 2025-04-10 | Y |
| 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. | Health | 2025-04-01 | 2025-04-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-07 | 2025-02-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-06 | 2025-02-07 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2025-02-06 | 2025-02-07 | Y |
| 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. | Health | 2025-02-06 | 2025-02-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-06 | 2025-02-07 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-01 | 2025-02-04 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-01-07 | 2025-02-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-07 | 2025-01-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-01-07 | 2025-01-21 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-09-19 | 2024-12-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-19 | 2024-12-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-01 | 2024-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-28 | 2024-11-19 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-10-28 | 2024-10-31 | Y |
| 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. | Health | 2024-10-28 | 2024-10-29 | Y |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2024-09-19 | 2024-10-17 | Y |
| 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. | Health | 2024-09-19 | 2024-10-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-19 | 2024-10-16 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-09-19 | 2024-10-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-19 | 2024-10-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-19 | 2024-10-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-09-19 | 2024-10-14 | Y |
| 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. | Health | 2024-09-19 | 2024-10-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-01 | 2024-07-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-01 | 2024-07-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-01 | 2024-07-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-01 | 2024-07-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-07-01 | 2024-07-17 | N |
| 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. | Health | 2024-07-01 | 2024-07-17 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-07-01 | 2024-07-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-07-01 | 2024-07-17 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-07-01 | 2024-07-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-01 | 2024-07-17 | N |
| Keep all essential equipment working safely. | Health | 2024-07-01 | 2024-07-17 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-07-01 | 2024-07-17 | N |
| Provide training in compliance and ethics. | Health | 2024-07-01 | 2024-07-17 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-07-01 | 2024-07-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-01 | 2024-07-17 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-07-01 | 2024-07-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-01 | 2024-07-17 | Y |
| 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. | Health | 2024-07-01 | 2024-07-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-01 | 2024-07-17 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-01 | 2024-07-17 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-07-01 | 2024-07-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-01 | 2024-07-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-07-01 | 2024-07-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-07-01 | 2024-07-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-01 | 2024-07-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-01 | 2024-07-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-01 | 2024-07-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-01 | 2024-07-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-07-01 | 2024-07-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-01 | 2024-07-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-01 | 2024-07-17 | N |
| 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. | Health | 2024-03-07 | 2024-04-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-07 | 2024-04-05 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-03-07 | 2024-04-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-07 | 2024-04-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-07 | 2024-04-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-07 | 2024-04-05 | Y |
| 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. | Health | 2024-03-07 | 2024-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-07 | 2024-04-05 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-03-07 | 2024-04-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-07 | 2024-04-05 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-07 | 2024-04-05 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-03-07 | 2024-04-05 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-03-07 | 2024-04-05 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-07 | 2024-04-05 | Y |
| 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. | Health | 2024-03-07 | 2024-04-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-07 | 2024-04-05 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-03-07 | 2024-04-05 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-03-07 | 2024-04-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-07 | 2024-04-05 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-03-07 | 2024-04-05 | Y |
| 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. | Health | 2024-01-17 | 2024-04-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-17 | 2024-04-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-17 | 2024-04-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-17 | 2024-04-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-17 | 2024-04-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-17 | 2024-02-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-17 | 2024-02-09 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-17 | 2024-02-09 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-01-17 | 2024-02-09 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-01-17 | 2024-02-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-01 | 2023-12-01 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-11-01 | 2023-12-01 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-01 | 2023-12-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-01 | 2023-12-01 | Y |
| 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. | Health | 2023-11-01 | 2023-12-01 | Y |
| 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. | Health | 2023-11-01 | 2023-12-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-01 | 2023-12-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-01 | 2023-12-01 | Y |
| 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. | Health | 2023-11-01 | 2023-12-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-01 | 2023-12-01 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-11-01 | 2023-12-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-01 | 2023-12-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-01 | 2023-12-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-01 | 2023-12-01 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-11-01 | 2023-12-01 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-11-01 | 2023-12-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-01 | 2023-12-01 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-01 | 2023-12-01 | Y |
| 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. | Health | 2023-11-01 | 2023-12-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-01 | 2023-12-01 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-11-01 | 2023-12-01 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-11-01 | 2023-12-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-01 | 2023-12-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-01 | 2023-12-01 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-04-26 | 2023-06-14 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-04-26 | 2023-05-24 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-04-26 | 2023-05-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-26 | 2023-05-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-26 | 2023-05-24 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-04-26 | 2023-05-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-26 | 2023-05-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-26 | 2023-05-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-26 | 2023-05-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-04-26 | 2023-05-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-26 | 2023-05-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-26 | 2023-05-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-04-26 | 2023-05-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-26 | 2023-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-26 | 2023-05-19 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-04-26 | 2023-05-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-26 | 2023-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-26 | 2023-05-19 | N |
| 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. | Health | 2023-04-26 | 2023-05-19 | N |
| 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. | Health | 2023-04-26 | 2023-05-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-26 | 2023-05-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-26 | 2023-05-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-26 | 2023-05-19 | N |
| 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. | Health | 2023-04-26 | 2023-05-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-26 | 2023-05-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-26 | 2023-05-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-26 | 2023-05-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-26 | 2023-05-19 | N |
| 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. | Health | 2023-04-26 | 2023-05-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-26 | 2023-05-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-26 | 2023-05-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-26 | 2023-05-19 | N |
| 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. | Health | 2023-04-26 | 2023-05-19 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-04-26 | 2023-05-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-26 | 2023-05-19 | N |