BEAUMONT REHAB & SKILLED NURSING CTR - WESTBORO

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

Provide care or services that was trauma informed and/or culturally competent.

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

Provide and implement an infection prevention and control program.

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

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.

Ensure that residents are free from significant medication errors.

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

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Provide activities to meet all resident's needs.

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

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

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

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.

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

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

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

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.