CENTRO DE CUIDADO PROLONGADO SAN LUCAS

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Provide training in compliance and ethics.

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Put firmly secured handrails on each side of hallways.

Keep all essential equipment working safely.

Have a Compliance and Ethics Program.

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Provide or get specialized rehabilitative services as required for a resident.

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

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

Provide routine and 24-hour emergency dental care for each resident.

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Ensure laboratory services, blood blanks and transfusion services provided on-site meet requirements for certified laboratories.

Provide timely, quality laboratory services/tests to meet the needs of residents.

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.

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

Provide appropriate care/assistance for a resident with a prosthesis.

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Assist a resident in gaining access to vision and hearing services.

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

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

Respond appropriately to all alleged violations.

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

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

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

Protect each resident from the wrongful use of the resident's belongings or money.

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

Not prohibit or in any way discourage a resident from communicating with federal, state, or local officials.

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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.

Keep residents' personal and medical records private and confidential.

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

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

Provide information about how to apply for and use Medicare and Medicaid benefits.

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.

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

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

Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

The resident has the right to receive notices in a format and a language he or she understands.

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

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

Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.

Assure the security of all personal funds of residents deposited with the facility.

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

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

Honor the resident's right to manage his or her financial affairs.

1) Protect residents from being forced to work at the nursing home, or 2) let residents work if they want to.

Honor the resident's right to organize and participate in resident/family groups in the facility.

Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.

Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

Provide immediate access to any resident.

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Protect a residents' right to refuse some types of non-requested transfers within the nursing home.

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Reasonably accommodate the needs and preferences of each resident.

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

Honor the resident's right to choose his or her attending physician.

Allow residents to self-administer drugs if determined clinically appropriate.

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Ensure that residents are fully informed and understand their health status, care and treatments.

Give the resident's representative the ability to exercise the resident's rights.