The Terrace at Crystal Llc

Post nurse staffing information every day.

Provide and implement an infection prevention and control program.

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

Keep all essential equipment working safely.

Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space.

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

Ensure the activities program is directed by a qualified professional.

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

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

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

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

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

Reasonably accommodate the needs and preferences of each resident.

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Provide training in compliance and ethics.

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

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

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

Provide activities to meet all resident's needs.

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

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

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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

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

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

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

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

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

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.

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

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

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

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

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

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

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

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

Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

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

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

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

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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.

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

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

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.

Provide training in compliance and ethics.

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

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

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

Provide and implement an infection prevention and control program.

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

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

Ensure that residents are free from significant medication errors.

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

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

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.

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

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Ensure that residents are fully informed and understand their health status, care and treatments.

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

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

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.

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

Ensure each resident receives an accurate assessment.

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.

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

Provide activities to meet all resident's needs.

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

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

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

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

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

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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.

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

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

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

Provide and implement an infection prevention and control program.

Allow residents to self-administer drugs if determined clinically appropriate.

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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 r…