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Country Oaks Care Center

📍 215 W Pearl St, Pomona, CA 91768 📞 (909) 622-1067 🛏️ 81 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2023 1 penalties totaling $15,000

$15,000
Jan 11, 2023

Fine

2020 1 penalties totaling $7,100

$7,100
Sep 28, 2020

Fine

2018 1 penalties totaling $8,500

$8,500
Mar 29, 2018

Fine

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Health Violations by Year

2025 22 violations

Tag 0689 D Apr 16, 2025

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

✓ Corrected: Apr 22, 2025
Tag 0842 E Apr 16, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Apr 23, 2025
Tag 0880 D Apr 16, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 17, 2025
Tag 0558 D Mar 6, 2025

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 6, 2025
Tag 0578 D Mar 6, 2025

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

✓ Corrected: Mar 7, 2025
Tag 0584 E Mar 6, 2025

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.

✓ Corrected: Mar 12, 2025
Tag 0641 D Mar 6, 2025

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 14, 2025
Tag 0656 D Mar 6, 2025

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

✓ Corrected: Mar 12, 2025
Tag 0689 D Mar 6, 2025

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

✓ Corrected: Mar 12, 2025
Tag 0690 D Mar 6, 2025

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

✓ Corrected: Mar 12, 2025
Tag 0693 E Mar 6, 2025

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: Mar 10, 2025
Tag 0694 E Mar 6, 2025

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

✓ Corrected: Mar 12, 2025
Tag 0695 D Mar 6, 2025

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

✓ Corrected: Mar 10, 2025
Tag 0726 D Mar 6, 2025

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.

✓ Corrected: Mar 10, 2025
Tag 0755 E Mar 6, 2025

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

✓ Corrected: Mar 12, 2025
Tag 0758 D Mar 6, 2025

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.

✓ Corrected: Mar 14, 2025
Tag 0812 D Mar 6, 2025

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

✓ Corrected: Mar 12, 2025
Tag 0880 E Mar 6, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 12, 2025
Tag 0912 B Mar 6, 2025

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Mar 14, 2025
Tag 0921 E Mar 6, 2025

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

✓ Corrected: Mar 12, 2025

2024 27 violations

Tag 0689 E Aug 12, 2024

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

✓ Corrected: Aug 26, 2024
Tag 0607 D Aug 1, 2024

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

✓ Corrected: Aug 2, 2024
Tag 0880 D Jul 27, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 29, 2024
Tag 0550 D Jul 15, 2024

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

✓ Corrected: Jul 31, 2024
Tag 0558 D Jul 15, 2024

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jul 28, 2024
Tag 0584 E Jul 15, 2024

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.

✓ Corrected: Jul 15, 2024
Tag 0600 D Jun 11, 2024

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

✓ Corrected: Jul 9, 2024
Tag 0609 D May 7, 2024

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

✓ Corrected: May 31, 2024
Tag 0550 D Apr 17, 2024

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

✓ Corrected: May 16, 2024
Tag 0690 E Apr 17, 2024

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

✓ Corrected: May 16, 2024
Tag 0656 D Mar 19, 2024

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

✓ Corrected: Mar 20, 2024
Tag 0842 E Mar 19, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 21, 2024
Tag 0657 E Mar 7, 2024

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

✓ Corrected: Apr 2, 2024
Tag 0550 D Feb 23, 2024

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

✓ Corrected: Mar 18, 2024
Tag 0656 E Feb 23, 2024

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

✓ Corrected: Mar 18, 2024
Tag 0684 E Feb 23, 2024

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

✓ Corrected: Mar 18, 2024
Tag 0686 E Feb 23, 2024

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

✓ Corrected: Mar 18, 2024
Tag 0690 D Feb 23, 2024

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

✓ Corrected: Mar 18, 2024
Tag 0692 E Feb 23, 2024

Provide enough food/fluids to maintain a resident's health.

✓ Corrected: Mar 18, 2024
Tag 0695 D Feb 23, 2024

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

✓ Corrected: Mar 18, 2024
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2023 36 violations

Tag 0808 D Dec 26, 2023

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

✓ Corrected: Jan 18, 2024
Tag 0812 D Dec 26, 2023

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

✓ Corrected: Jan 17, 2024
Tag 0656 E May 30, 2023

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

✓ Corrected: Jun 28, 2023
Tag 0686 E May 30, 2023

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

✓ Corrected: Jun 28, 2023
Tag 0842 D May 30, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jun 28, 2023
Tag 0550 E Apr 27, 2023

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

✓ Corrected: May 17, 2023
Tag 0740 K Apr 27, 2023

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: May 8, 2023
Tag 0623 D Mar 6, 2023

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

✓ Corrected: Mar 30, 2023
Tag 0697 D Mar 3, 2023

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Mar 8, 2023
Tag 0755 D Mar 3, 2023

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

✓ Corrected: Mar 8, 2023
Tag 0550 D Feb 24, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0558 D Feb 24, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 17, 2023
Tag 0565 E Feb 24, 2023

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Mar 17, 2023
Tag 0584 D Feb 24, 2023

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.

✓ Corrected: Mar 17, 2023
Tag 0656 D Feb 24, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0676 D Feb 24, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0677 D Feb 24, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0686 D Feb 24, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0689 D Feb 24, 2023

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

✓ Corrected: Mar 17, 2023
Tag 0695 E Feb 24, 2023

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

✓ Corrected: Mar 17, 2023

2022 28 violations

Tag 0698 D Nov 1, 2022

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

✓ Corrected: Dec 13, 2022
Tag 0684 D Oct 13, 2022

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

✓ Corrected: Nov 12, 2022
Tag 0695 D Oct 13, 2022

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

✓ Corrected: Nov 12, 2022
Tag 0825 D Oct 13, 2022

Provide or get specialized rehabilitative services as required for a resident.

✓ Corrected: Nov 12, 2022
Tag 0842 D Oct 13, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Nov 12, 2022
Tag 0656 E Aug 17, 2022

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

✓ Corrected: Sep 16, 2022
Tag 0658 E Aug 17, 2022

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

✓ Corrected: Sep 16, 2022
Tag 0688 E Aug 17, 2022

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.

✓ Corrected: Sep 16, 2022
Tag 0839 E Aug 17, 2022

Employ staff that are licensed, certified, or registered in accordance with state laws.

✓ Corrected: Sep 16, 2022
Tag 0573 D Aug 16, 2022

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

✓ Corrected: Sep 7, 2022
Tag 0880 E Aug 11, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 21, 2022
Tag 0756 E Aug 5, 2022

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

✓ Corrected: Aug 30, 2022
Tag 0686 D Jun 3, 2022

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

✓ Corrected: Aug 8, 2022
Tag 0552 D May 12, 2022

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

✓ Corrected: May 25, 2022
Tag 0609 D Mar 31, 2022

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

✓ Corrected: Apr 30, 2022
Tag 0657 E Mar 31, 2022

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

✓ Corrected: Apr 30, 2022
Tag 0880 E Mar 18, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 20, 2022
Tag 0882 D Mar 18, 2022

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

✓ Corrected: Mar 20, 2022
Tag 0880 D Mar 17, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 28, 2022
Tag 0558 D Mar 16, 2022

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 17, 2022
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2021 3 violations

Tag 0607 D Jul 27, 2021

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

✓ Corrected: Aug 24, 2021
Tag 0880 E Jul 21, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 13, 2021
Tag 0880 D Feb 18, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 9, 2021

2020 6 violations

Tag 0880 E Sep 28, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 8, 2020
Tag 0635 D Apr 14, 2020

Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

✓ Corrected: Sep 2, 2020
Tag 0660 D Apr 14, 2020

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Sep 2, 2020
Tag 0657 D Feb 13, 2020

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

✓ Corrected: Mar 23, 2020
Tag 0842 D Feb 13, 2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 23, 2020
Tag 0732 E Jan 24, 2020

Post nurse staffing information every day.

✓ Corrected: Feb 6, 2020
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2019 22 violations

Tag 0691 D Nov 2, 2019

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

✓ Corrected: Nov 15, 2019
Tag 0695 D Nov 1, 2019

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

✓ Corrected: Nov 15, 2019
Tag 0554 D Sep 16, 2019

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

✓ Corrected: Nov 12, 2019
Tag 0604 D Sep 16, 2019

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

✓ Corrected: Nov 12, 2019
Tag 0641 D Sep 16, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Nov 12, 2019
Tag 0660 D Sep 16, 2019

Plan the resident's discharge to meet the resident's goals and needs.

✓ Corrected: Nov 12, 2019
Tag 0684 D Sep 16, 2019

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

✓ Corrected: Nov 12, 2019
Tag 0686 D Sep 16, 2019

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

✓ Corrected: Nov 12, 2019
Tag 0689 D Sep 16, 2019

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

✓ Corrected: Nov 12, 2019
Tag 0695 D Sep 16, 2019

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

✓ Corrected: Nov 12, 2019
Tag 0697 D Sep 16, 2019

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Nov 12, 2019
Tag 0698 D Sep 16, 2019

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

✓ Corrected: Nov 12, 2019
Tag 0755 E Sep 16, 2019

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

✓ Corrected: Nov 12, 2019
Tag 0758 D Sep 16, 2019

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.

✓ Corrected: Nov 12, 2019
Tag 0759 E Sep 16, 2019

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Nov 12, 2019
Tag 0812 D Sep 16, 2019

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

✓ Corrected: Nov 12, 2019
Tag 0880 E Sep 16, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 12, 2019
Tag 0908 D Sep 16, 2019

Keep all essential equipment working safely.

✓ Corrected: Nov 12, 2019
Tag 0912 B Sep 16, 2019

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Nov 12, 2019
Tag 0842 E Feb 12, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Feb 28, 2019

2018 14 violations

Tag 0760 D Dec 26, 2018

Ensure that residents are free from significant medication errors.

✓ Corrected: Jan 10, 2019
Tag 0655 D Sep 20, 2018

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

✓ Corrected: Nov 6, 2018
Tag 0675 E Sep 20, 2018

Honor each resident's preferences, choices, values and beliefs.

✓ Corrected: Nov 6, 2018
Tag 0684 D Sep 20, 2018

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

✓ Corrected: Nov 6, 2018
Tag 0689 D Sep 20, 2018

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

✓ Corrected: Nov 6, 2018
Tag 0690 D Sep 20, 2018

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

✓ Corrected: Nov 6, 2018
Tag 0740 D Sep 20, 2018

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

✓ Corrected: Nov 6, 2018
Tag 0773 D Sep 20, 2018

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

✓ Corrected: Nov 6, 2018
Tag 0804 E Sep 20, 2018

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Nov 6, 2018
Tag 0880 E Sep 20, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 6, 2018
Tag 0912 B Sep 20, 2018

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Nov 6, 2018
Tag 0921 E Sep 20, 2018

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

✓ Corrected: Nov 6, 2018
Tag 0689 E Sep 7, 2018

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

✓ Corrected: Sep 18, 2018
Tag 0309 G Mar 29, 2018

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Apr 30, 2018
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2017 18 violations

Tag 0223 D Oct 25, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

✓ Corrected: Jan 2, 2018
Tag 0226 E Oct 25, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Jan 2, 2018
Tag 0281 D Oct 25, 2017

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

✓ Corrected: Jan 2, 2018
Tag 0167 B Sep 15, 2017

Allow residents to easily view the results of the nursing home's most recent inspection.

✓ Corrected: Oct 3, 2017
Tag 0226 D Sep 15, 2017

Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.

✓ Corrected: Oct 3, 2017
Tag 0246 E Sep 15, 2017

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Oct 3, 2017
Tag 0279 D Sep 15, 2017

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

✓ Corrected: Oct 3, 2017
Tag 0281 D Sep 15, 2017

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

✓ Corrected: Oct 3, 2017
Tag 0309 E Sep 15, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Oct 3, 2017
Tag 0314 E Sep 15, 2017

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

✓ Corrected: Oct 3, 2017
Tag 0315 D Sep 15, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Oct 3, 2017
Tag 0431 E Sep 15, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Oct 3, 2017
Tag 0441 E Sep 15, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Oct 3, 2017
Tag 0458 B Sep 15, 2017

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

✓ Corrected: Oct 3, 2017
Tag 0463 D Sep 15, 2017

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

✓ Corrected: Oct 3, 2017
Tag 0514 D Sep 15, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Oct 3, 2017
Tag 0518 D Sep 15, 2017

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

✓ Corrected: Oct 3, 2017
Tag 0309 D Jun 19, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

✓ Corrected: Jun 28, 2017
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