ASPIRE TRANSITIONAL CARE

Failure to: Provide and implement an infection prevention and control program.

Failure to: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

Failure to: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Failure to: Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

Failure to: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

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

Failure to: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Failure to: Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Failure to: Implement a program that monitors antibiotic use.

Failure to: Provide and implement an infection prevention and control program.

Failure to: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Failure to: Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

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

Failure to: Respond appropriately to all alleged violations.

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

Failure to: Make sure that a working call system is available in each resident's bathroom and bathing area.

Failure to: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Failure to: Ensure each resident’s drug regimen must be free from unnecessary drugs.

Failure to: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

Failure to: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

Failure to: Develop and implement policies and procedures for flu and pneumonia vaccinations.

Failure to: Provide and implement an infection prevention and control program.

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

Failure to: Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Failure to: Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

Failure to: Ensure medication error rates are not 5 percent or greater.

Failure to: Post nurse staffing information every day.

Failure to: Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Failure to: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Failure to: Provide safe and appropriate respiratory care for a resident when needed.

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

Failure to: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Failure to: Provide activities to meet all resident's needs.

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

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

Failure to: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Failure to: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Failure to: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.