All citations for Shafter Nursing Care

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

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

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.

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

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.

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

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

Protect each resident from the wrongful use of the resident''s belongings or money.

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

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

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

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

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.

Provide appropriate foot care.

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.

Other - Citation B (HSC 1424)

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

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

Ensure each resident receives an accurate assessment.

Honor the resident''s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Reasonably accommodate the needs and preferences of each resident.

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

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.

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.

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

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

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 residents are free from significant medication errors.

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

Patient Care - Citation A (HSC 1424)

Honor the resident''s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

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

Honor the resident''s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Honor the resident''s right to manage his or her financial affairs.

Assess the resident when there is a significant change in condition

PASARR screening for Mental disorders or Intellectual Disabilities

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

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Provide activities to meet all resident''s needs.

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

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

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

Ensure the resident''s doctor reviews the resident''s care, writes, signs and dates progress notes and orders, at each required visit.

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

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.