BRIDGEWAY CARE AND REHAB CENTER AT HILLSBOROUGH

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Respond appropriately to all alleged violations.

Ensure medication error rates are not 5 percent or greater.

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

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

Ensure residents have reasonable access to and privacy in their use of communication methods.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

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

Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

Provide and implement an infection prevention and control program.

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

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

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

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

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

Provide and implement an infection prevention and control program.

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.