PORTSMOUTH HEALTH AND REHAB

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

Provide safe, appropriate pain management for a resident who requires such services.

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

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

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

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

Ensure that residents are free from significant medication errors.

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

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

Provide appropriate foot care.

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

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

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

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

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

Provide appropriate foot care.

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

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

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Provide and implement an infection prevention and control program.

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

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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.

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.

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

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

PASARR screening for Mental disorders or Intellectual Disabilities

Keep residents' personal and medical records private and confidential.

Provide and implement an infection prevention and control program.

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

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

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.

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

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

PASARR screening for Mental disorders or Intellectual Disabilities

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

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.

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

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Have a program that investigates, controls and keeps infection from spreading.

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

Ensure that residents are safe from serious medication errors.

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

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

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

Provide necessary care and services to maintain or improve the highest well being of each resident .

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

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

Ensure each resident receives an accurate assessment by a qualified health professional.

Assure that each resident’s assessment is updated at least once every 3 months.

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Allow residents to easily view the results of the nursing home's most recent inspection.

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

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