🔎 Wyndmoor Hills Rehabilitation And Nursing Center

Scope/Severity: D

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

Scope/Severity: D

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: D

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

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 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

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.

Scope/Severity: D

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Scope/Severity: D

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Scope/Severity: D

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

Scope/Severity: D

Ensure that a resident does not develop patterns of decreased social interaction and/or increased withdrawn, angry, or depressive behaviors, unless unavoidable.

Scope/Severity: D

Provide or obtain dental services for each resident.

Scope/Severity: D

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

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

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

Scope/Severity: D

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

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

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

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 organize and participate in resident/family groups in the facility.

Scope/Severity: D

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

Scope/Severity: D

Respond appropriately to all alleged violations.

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

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

Scope/Severity: D

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

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 each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

Scope/Severity: D

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

Scope/Severity: D

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

Scope/Severity: D

Have a plan that describes the process for conducting QAPI and QAA activities.

Scope/Severity: D

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

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

Keep all essential equipment working safely.

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

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

Scope/Severity: D

Keep all essential equipment working safely.

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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Scope/Severity: D

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

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

Scope/Severity: D

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: D

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

Scope/Severity: D

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

Scope/Severity: D

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

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

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Scope/Severity: D

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

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 for the safe, appropriate administration of IV fluids for a resident when needed.