Smithfield Manor Rehabilitation And Healthcare Cen

repositioning to include rolling the residents towards staff during activities of daily living care.

The Unit Managers, Quality Assurance Nurse, and Assistant Director of Nursing will utilize the Turning and Repositioning Audit Tool to ensure proper turning and repositioning.

All areas of concern will be addressed by the Director of Nursing and/or Administrator.

Audits will include 10 residents x 4 weeks then, 5 residents x 4 weeks, then 1 resident x 4 weeks.The Administrator will forward the results of the Turning and Repositioning Audit Tool to the Executive QA Committee monthly for 3 months for review to determine trends and/or issues that may need further intervention put into place and to determine the need for further and/or frequency of monitoring.

Alleged Completion Date: 10/28/2025 The facility's corrective action plan was validated on 11/4/2025 through staff interviews, observations, and record reviews.

The initial audit results were reviewed with no concerns noted.

The in-service records and questionnaires completed on 10/26/2025 were reviewed.

Interviews with nurses and nursing assistants were completed to validate the in-service Turning and Repositioning relating to rolling patient towards staff to maintain safety of residents during ADL care was completed. An observation of turning and repositioning during incontinence care for Resident #1 performed by NA #2 was completed with no concerns noted.

The weekly audit with an ending date of 11/1/2025 was reviewed with no concerns noted.

The facility's corrective action plan completion date of 10/28/2025 was validated.

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