Thalia Gardens Rehabilitation and Nursing

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.

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

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

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.

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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.

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Reasonably accommodate the needs and preferences of each resident.

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

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

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

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

Post nurse staffing information every day.

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

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

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

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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

Give residents a notice of rights, rules, services and charges.

The resident has the right to receive notices in a format and a language he or she understands.

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.

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

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

Ensure each resident receives an accurate assessment.

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

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