🔎 St Elizabeth Care Center

Scope/Severity: E

Ensure residents have reasonable access to and privacy in their use of communication methods.

Scope/Severity: E

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: E

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

Scope/Severity: E

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: E

Provide and implement an infection prevention and control program.

Scope/Severity: E

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Scope/Severity: E

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Scope/Severity: E

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Scope/Severity: E

Keep residents' personal and medical records private and confidential.

Scope/Severity: E

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.

Scope/Severity: E

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

Scope/Severity: E

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: E

Ensure each resident receives an accurate assessment.

Scope/Severity: E

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

Scope/Severity: E

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

Scope/Severity: E

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Scope/Severity: E

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: F

Provide and implement an infection prevention and control program.

Scope/Severity: E

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

Scope/Severity: E

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: G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope/Severity: E

Honor the resident's right to manage his or her financial affairs.

Scope/Severity: E

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.

Scope/Severity: E

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

Scope/Severity: E

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

Scope/Severity: E

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: E

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: F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Scope/Severity: E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Scope/Severity: F

Assure the security of all personal funds of residents deposited with the facility.

Scope/Severity: E

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

Scope/Severity: E

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.

Scope/Severity: E

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: E

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.

Scope/Severity: E

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Scope/Severity: E

Provide and implement an infection prevention and control program.

Scope/Severity: E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.