VILLA LORETTO NURSING HOME

Provide and implement an infection prevention and control program.

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

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

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

PASARR screening for Mental disorders or Intellectual Disabilities

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

Respond appropriately to all alleged violations.

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

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

Provide and implement an infection prevention and control program.

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting.

Respond appropriately to all alleged violations.

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

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

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