PRESCOTT HOUSE

The facility must establish a grievance policy to the prompt resolution of grievances the resident may have, including those with respect to care and treatment, the behavior of staff and other residents and other concerns. (F 585 )

The services provided or arranged by the facility as outlined by the comprehensive care plan must meet professional standards of quality. (F 658)

The facility must have sufficient nursing staff with the appropriate competencies and skill sets to provide nursing and related services that assure resident safety and attain or maintain the highest practical well-being of residents. Sufficient numbers of licensed nurses and other nursing personnel including but not limited to nurse aides must be provided on a 24-hour basis with a licensed nurse as charge nurse on each tour of duty. (F 725 )

The facility must establish and maintain an infection control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of disease and infection. Identified incidents of infection and corrective measures must be recorded and the infection control program must be reviewed yearly and updated as necessary. (F 880 )

The facility must complete a performance review of every nurse aide at least once every twelve months and must provide regular in-service education based on the outcome of these reviews. (F 730 )

A facility must maintain all resident assessments completed within the previous 15 months in the resident?s active record and use the results of the assessments to develop, review and revise the resident?s comprehensive care plan. (F 639 ) and/or; The facility develops and implements comprehensive person-centered care plans for each resident that include measurable objectives and time frames to meet each resident's medical, nursing and mental and psychosocial needs which describe services to be furnished to attain or maintain residents highest practical well-being and assess resident or resident representative goals for desired outcomes. (F 656 )

The facility ensures that each resident receives and the facility provides the necessary care and services to attain or maintain the highest practicable physical, mental and psychosocial well-being. (F 675) and/or; The facility ensures that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents? choices (F 684) and/or; The facility ensures that pain management is provided to residents who require such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents? goals and preferences. (F 697) and/or; The facility ensures that residents who require dialysis receive such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents? goals and preferences. (F 698) and/or; Resident who displays or are diagnosed with dementia, receive the appropriate treatment and services to attain or maintain his or her highest practicable physical, mental, and psychosocial well-being. (F 744)

The facility provides the appropriate treatment and services to ensure residents? abilities in activities of daily living do not diminish unless circumstances of the individual's clinical condition demonstrate that diminution was unavoidable. (F 676 )

The facility ensures residents receive care to prevent pressure ulcers unless resident's clinical condition demonstrates that they were unavoidable and residents with pressure ulcers receive treatment and services to promote healing, prevent infection and prevent new ulcers from developing. (F 686 )

Resident maintain acceptable parameters of nutritional status, such as usual body weight or desirable body weight range and electrolyte balance, unless a resident?s clinical condition demonstrates that this is not possible or resident preferences indicate otherwise and are offered sufficient fluid intake to maintain proper hydration and health and a therapeutic diet when there is a nutritional problem and the health care provider orders a therapeutic diet. (F 692)

The facility ensures that its medication error rates are not 5 percent or greater. (F 759 )

The facility observes resident rights to personal privacy, including personal and medical records, accommodations, medical treatment, all communications, deliveries, personal care, visits, and meetings of family and resident groups and respects residents? right to refuse the release of personal and medical records when allowed by state and federal law. (F 583) and/or; The facility maintains medical records containing required information on each resident that are complete, accurately documented, readily accessible and Systematically organized; ensures all identifiable resident records remain confidential and does not release identifiable resident information unless permitted to do so; safeguards medical record information against loss, destruction, or unauthorized use; and retains the medical records for the specified amount of time. ( F 842)

The facility treats each resident with respect and dignity and care for each resident in a manner and in an environment that promotes maintenance or enhancement of his or her quality of life, recognizing each resident?s individuality; provide equal access to quality care regardless of diagnosis, severity of condition, or payment source; and ensures that residents can exercise his or her rights without interference, coercion, discrimination, or reprisal from the facility. (F 550 )

The facility provides each resident food prepared by methods that conserve nutritive value, flavor, and appearance and is palatable, attractive and at a safe and appetizing temperature. (F 804 )

The facility procures food from sources approved or considered satisfactory by federal state or local authorities and stores, prepares, distributes and serves food in accordance with professional standards for food service safety. (F 812 ) and/or; The facility has a policy regarding use and storage of foods brought to residents by family and other visitors to ensure safe and sanitary storage, handling, and consumption. (F 813 )

The facility provides a safe, clean, comfortable, and homelike environment, allowing residents to use their personal belongings to the extent possible by; Ensuring that the physical layout of the facility maximizes resident independence and does not pose a safety risk; Providing housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior; Maintaining clean bed and bath linens that are in good condition; And providing private closet space in each resident room, adequate and comfortable lighting levels in all areas, comfortable and safe temperature levels and the maintenance of comfortable sound levels. (F 584 )

The facility ensures that the resident environment remains as free of accident hazards as is possible and each resident receives adequate supervision and assistance devices to prevent accidents. (F 689 )

The facility is equipped to allow residents to call for staff assistance through a communication system which relays the call from resident rooms, toilet and bathing facilities directly to a staff member or to a centralized staff work area. (F 919 )