Autumn Lake Healthcare at Pikesville

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

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Provide and implement an infection prevention and control program.

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

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

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

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.

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

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

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

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

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.

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

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Provide and implement an infection prevention and control program.

Keep all essential equipment working safely.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Have enough backup water supply for essential areas of the nursing home.

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

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

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

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.

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

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.

Provide timely, quality laboratory services/tests to meet the needs of residents.

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

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

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

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Prepare residents for a safe transfer or discharge from the nursing home.

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

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

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

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

Ensure that residents are free from significant medication errors.

Provide or get specialized rehabilitative services as required for a resident.

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

Perform COVID19 testing on residents and staff.

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.

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

Post nurse staffing information every day.

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.

Provide or obtain dental services for each resident.

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

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

Reasonably accommodate the needs and preferences of each resident.

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.

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

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

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

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

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

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.

Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.

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.

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

Ensure each resident receives an accurate assessment.

Reasonably accommodate the needs and preferences of each resident.

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

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

Provide and implement an infection prevention and control program.