🔎 Casa Maria Healthcare

Scope/Severity: E

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

Scope/Severity: E

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

Scope/Severity: E

Honor the resident's right to organize and participate in resident/family groups in the facility.

Scope/Severity: F

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

Scope/Severity: F

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

Scope/Severity: E

Ensure each resident receives an accurate assessment.

Scope/Severity: E

Provide activities to meet all resident's needs.

Scope/Severity: E

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

Scope/Severity: F

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 medication error rates are not 5 percent or greater.

Scope/Severity: E

Ensure that residents are free from significant medication errors.

Scope/Severity: E

Provide or obtain dental services for each resident.

Scope/Severity: F

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

Scope/Severity: F

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.

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

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: F

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

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.

Scope/Severity: E

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

Scope/Severity: H

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

Scope/Severity: F

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Scope/Severity: F

Post nurse staffing information every day.

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: F

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

Scope/Severity: F

Dispose of garbage and refuse properly.

Scope/Severity: F

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Scope/Severity: E

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Scope/Severity: E

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.

Scope/Severity: F

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Scope/Severity: F

Post nurse staffing information every day.

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 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

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

Scope/Severity: E

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

Scope/Severity: F

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Scope/Severity: E

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

Scope/Severity: E

Post nurse staffing information every day.

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

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.