THE CENTENNIAL HOMESTEAD

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.

Ensure that residents are free from significant medication errors.

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

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

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

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

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

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

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.

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

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

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Give residents a notice of rights, rules, services and charges.

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Reasonably accommodate the needs and preferences of each resident.

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Provide housekeeping and maintenance services.

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

Allow residents the right to participate in the planning or revision of care and treatment.

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances.

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

Ensure residents maintain acceptable nutritional status.

Store, cook, and serve food in a safe and clean way.

Provide or obtain dental services for each resident.

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

Keep all essential equipment working safely.

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

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