Maple Grove Wellness & Rehabilitation

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.

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.

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 rail.

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.

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

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

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

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

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

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

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

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

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

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.

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

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

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

Ensure that residents are free from significant medication errors.

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

Implement a program that monitors antibiotic use.

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.

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.

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

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

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.

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