SALEM MEMORIAL DISTRICT HOSPITAL

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Implement a program that monitors antibiotic use.

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

Have a plan that describes the process for conducting QAPI and QAA activities.

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

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

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