Kauai Veterans Memorial Hospital

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

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

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

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

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

The resident has the right to receive notices in a format and a language he or she understands.

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

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.

Assess the resident when there is a significant change in condition

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

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

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.

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

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

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

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

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 organize and participate in resident/family groups in the facility.

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.

Keep residents' personal and medical records private and confidential.

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

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

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

Provide special eating equipment and utensils for residents who need them and appropriate assistance.

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

Provide and implement an infection prevention and control program.

The resident has the right to receive notices in a format and a language he or she understands.

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

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.

Provide and implement an infection prevention and control program.

Implement a program that monitors antibiotic use.

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.

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

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

Provide and implement an infection prevention and control program.

Have policies on smoking.

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

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

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.

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

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

Quickly tell the resident's doctor the results of laboratory tests.