🔎 Shipley Living

Scope/Severity: D

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

Scope/Severity: D

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

Scope/Severity: D

Reasonably accommodate the needs and preferences of each resident.

Scope/Severity: D

Assure that each resident’s assessment is updated at least once every 3 months.

Scope/Severity: D

Ensure each resident receives an accurate assessment.

Scope/Severity: D

PASARR screening for Mental disorders or Intellectual Disabilities

Scope/Severity: D

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

Scope/Severity: D

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

Scope/Severity: D

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

Scope/Severity: D

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

Scope/Severity: D

Assist a resident in gaining access to vision and hearing services.

Scope/Severity: D

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

Scope/Severity: D

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

Scope/Severity: C

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Scope/Severity: D

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

Scope/Severity: D

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Scope/Severity: D

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Scope/Severity: D

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.

Scope/Severity: D

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

Scope/Severity: D

Assess the resident when there is a significant change in condition

Scope/Severity: D

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Scope/Severity: D

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

Scope/Severity: D

Provide safe, appropriate pain management for a resident who requires such services.

Scope/Severity: D

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

Scope/Severity: D

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

Scope/Severity: D

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.

Scope/Severity: D

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Scope/Severity: D

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

Scope/Severity: D

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.

Scope/Severity: D

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

Scope/Severity: D

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Scope/Severity: D

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Scope/Severity: D

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

Scope/Severity: D

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

Scope/Severity: D

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

Scope/Severity: C

Post nurse staffing information every day.

Scope/Severity: D

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Scope/Severity: D

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

Scope/Severity: D

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.

Scope/Severity: D

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Scope/Severity: D

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Scope/Severity: D

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

Scope/Severity: D

Provide safe, appropriate pain management for a resident who requires such services.

Scope/Severity: D

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Scope/Severity: D

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

Scope/Severity: D

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.

Scope/Severity: D

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

Scope/Severity: D

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

Scope/Severity: D

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.