LA CRESCENT HEALTH SERVICES

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

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

Provide and implement an infection prevention and control program.

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

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.

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

Ensure medication error rates are not 5 percent or greater.

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

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

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

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

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

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

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

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

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

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

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

Provide and implement an infection prevention and control program.

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

Put firmly secured handrails on each side of hallways.

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

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

Implement a program that monitors antibiotic use.

Provide and implement an infection prevention and control program.

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

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

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