Blue Hills Health And Rehabilitation Center

Agent (HCA) notified and were made aware of the incident and injury.D) The Administrator and the Director of Nurses (DON) reviewed/submitted an internal investigation and personnel record review indicated that CNA #1 was immediately suspended following the alleged incident and subsequently terminated.E) On 01/14/26, the DON and other management staff began interviewing all residents able to be interviewed to elicited feedback regarding care and treatment provided by facility staff members. F) On 01/14/26, the DON and other management staff began monitoring residents that are unable to be interviewed for signs and symptoms of behavior, physical and/or functional changes for indicators of potential concerns of abuse.G) On 01/16/26 the Staff Development Coordinator (SDC) initiated mandatory staff training on the Facility Patient Abuse Policies and Caring for residents with Dementia.H) The Facility Educator and/or designee will conduct random validation quizzes for up to ten (10) employees to ensure comprehension of the Abuse Policy three times per week for three (3) weeks, then monthly for two (2) months to ensure compliance. I) The Facility Staff Educator and/or designee will conduct random interviews for residents able to be interviewed for up to 10 residents to ensure satisfaction and safety three times per week for three weeks, then for two months to ensure compliance. J) The areas of concerns were discussed by administration and management staff, related to the need for an Ad [NAME] Quality Assurance and Performance Improvement (QAPI) meeting to implement immediate corrective action.K) The results/data from the staff training and the resident's interviews will be presented at the next monthly QAPI meeting and quarterly reporting will continue.L) The DON and/or designee are responsible for overall compliance.

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