🔎 Beaumont Rehab And Skilled Nursing Ctr - Westboro

Scope/Severity: D

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

Scope/Severity: B

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Scope/Severity: D

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

Scope/Severity: D

Provide care or services that was trauma informed and/or culturally competent.

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: 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: B

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Scope/Severity: B

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Scope/Severity: D

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

Scope/Severity: D

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Scope/Severity: D

Provide activities to meet all resident's needs.

Scope/Severity: D

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

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 that residents are free from significant medication errors.

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

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

Scope/Severity: B

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

Scope/Severity: D

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

Scope/Severity: D

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.

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

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.

Scope/Severity: D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

Provide and implement an infection prevention and control program.

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

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

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

Scope/Severity: B

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Scope/Severity: B

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

Scope/Severity: C

Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

Scope/Severity: B

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

Scope/Severity: B

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.

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

Provide and implement an infection prevention and control program.