All citations for Adventist Health Delano

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

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

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

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.

Assist a resident in gaining access to vision and hearing services.

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

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.

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

Ensure the activities program is directed by a qualified professional.

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

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

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

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.

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

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

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.

Provide appropriate foot care.

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

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

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

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

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

Assure that each resident’s assessment is updated at least once every 3 months.

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

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

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

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

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident''s well being.

Ensure each resident’s drug regimen must be free from unnecessary drugs.

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 limited.

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.

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Provide and implement an infection prevention and control program.

Implement a program that monitors antibiotic use.

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

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

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

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

Reasonably accommodate the needs and preferences of each resident.

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

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

Abuse/Facility Not Self Reported - Citation B (HSC 1424)