Quality of Care & Life

F0240 Provide care for each resident in a way that maintains or improves their quality of life. F0241 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. F0242 Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. F0243 Provide resident groups or resident family groups with private space to meet. F0244 Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. F0245 Ensure that each resident has the right to join in social, religious, and community activities. F0246 Reasonably accommodate the needs and preferences of each resident. F0247 Give notice to the resident before a room or roommate change. F0248 Provide activities to meet the interests and needs of each resident. F0249 Ensure the activities program is directed by a qualified professional. F0250 Provide medically-related social services to help each resident achieve the highest possible quality of life. F0251 Hire a qualified full-time social worker in a facility with more than 120 beds. F0252 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. F0253 Provide housekeeping and maintenance services. F0254 Provide clean bed and bath linens that are in good condition. F0256 Provide adequate and comfortable lighting levels in all areas. F0257 Maintain comfortable and safe temperature levels. F0258 Maintain comfortable sound levels. F0309 Provide necessary care and services to maintain or improve the highest well being of each resident . F0310 Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. F0311 Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. F0312 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. F0313 Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. F0314 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. F0315 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. F0317 Prevent a loss in range of motion among residents who entered the nursing home with a full range of motion, unless it is unavoidable due to resident’s clinical condition. F0318 Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. F0319 Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. F0322 Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. F0323 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. F0325 Ensure residents maintain acceptable nutritional status. F0327 Give each resident enough fluids to keep them healthy and prevent dehydration. F0328 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. F0329 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. F0332 Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. F0333 Ensure that residents are safe from serious medication errors. F0334 Develop policies and procedures for influenza and pneumococcal immunizations. F0675 Honor each resident's preferences, choices, values and beliefs. F0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0677 Provide care and assistance to perform activities of daily living for any resident who is unable. F0678 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0679 Provide activities to meet all resident's needs. F0680 Ensure the activities program is directed by a qualified professional. F0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0685 Assist a resident in gaining access to vision and hearing services. F0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0687 Provide appropriate foot care. F0688 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. F0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0691 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. F0692 Provide enough food/fluids to maintain a resident's health. F0693 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. F0694 Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0695 Provide safe and appropriate respiratory care for a resident when needed. F0696 Provide appropriate care/assistance for a resident with a prosthesis. F0697 Provide safe, appropriate pain management for a resident who requires such services. F0698 Provide safe, appropriate dialysis care/services for a resident who requires such services. F0699 Provide care or services that was trauma informed and/or culturally competent. F0700 Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.