Colonial Manor Nursing Home

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.

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

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

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

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

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

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.

Implement a program that monitors antibiotic use.

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

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

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

Post nurse staffing information every day.

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

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

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

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

Implement a program that monitors antibiotic use.

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.

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

Ensure each resident receives an accurate assessment.

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

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

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

Provide and implement an infection prevention and control program.

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

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

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 pressure ulcer care and prevent new ulcers from developing.

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