Blue Mountain Care Center

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

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

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

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

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

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

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Post nurse staffing information every day.

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

Provide or obtain dental services for each resident.

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Provide and implement an infection prevention and control program.

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

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.

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

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

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

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.

Respond appropriately to all alleged violations.

Provide routine and 24-hour emergency dental care for each resident.

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

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

Ensure medication error rates are not 5 percent or greater.

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

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

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

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

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

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

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…

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

Provide and implement an infection prevention and control program.

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

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

Implement a program that monitors antibiotic use.

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

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

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

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