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| Deficiency Category | Inspection Date: 6/7/24 Complaint Reporting Period: 3/1/24 - 2/28/25 | Inspection Date: 5/3/23 Complaint Reporting Period: 3/1/23 - 2/29/24 | Inspection Date: 6/10/22 Complaint Reporting Period: 3/1/22 - 2/28/23 |
|---|---|---|---|
| Freedom from Abuse, Neglect, and Exploitation Deficiencies | |||
| Quality of Life and Care Deficiencies | |||
| Infection Control Deficiencies | |||
| Resident Assessment and Care Planning Deficiencies | |||
| Nursing and Physician Services Deficiencies | |||
| Resident Rights Deficiencies | |||
| Nutrition and Dietary Deficiencies | |||
| Pharmacy Service Deficiencies | |||
| Environmental Deficiencies | |||
| Administration Deficiencies |
| Date of last standard health inspection: | 6/7/24Read the full report (PDF) |
| Date(s) of complaint inspection(s) between 3/1/24 - 2/28/25 | 12/12/24Read the full report (PDF) 9/10/24Read the full report (PDF) |
| Date(s) of infection control inspection(s) between 3/1/24 - 2/28/25 | No infection control inspections |
| Total number of Health Deficiencies for this nursing home: | |
| Average number of Health Deficiencies in Illinois: | |
| Average number of Health Deficiencies in the United States: |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 6/7/24 | 8/9/24 | 2 - Minimal harm or potential for actual harm | Few |
Protect each resident from the wrongful use of the resident's belongings or money. | 9/10/24 | 9/28/24 | 4 - Immediate jeopardy to resident health or safety | Some |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 9/10/24 | 9/28/24 | 4 - Immediate jeopardy to resident health or safety | Some |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Few |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Many |
Respond appropriately to all alleged violations. | 6/7/24 | 8/9/24 | 2 - Minimal harm or potential for actual harm | Few |
Respond appropriately to all alleged violations. | 9/10/24 | 9/28/24 | 4 - Immediate jeopardy to resident health or safety | Some |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Ensure the activities program is directed by a qualified professional. | 6/7/24 | 8/9/24 | 2 - Minimal harm or potential for actual harm | Many |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 6/7/24 | 7/10/24 | 3 - Actual harm | Few |
Provide activities to meet all resident's needs. | 6/7/24 | 8/9/24 | 2 - Minimal harm or potential for actual harm | Many |
Provide enough food/fluids to maintain a resident's health. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Some |
Provide activities to meet all resident's needs. | 12/12/24 | 12/13/24 | 2 - Minimal harm or potential for actual harm | Many |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 12/12/24 | 12/13/24 | 3 - Actual harm | Few |
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. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Some |
Provide or get specialized rehabilitative services as required for a resident. | 3/9/24 | 3/19/24 | 2 - Minimal harm or potential for actual harm | Few |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Provide and implement an infection prevention and control program. | 6/7/24 | 8/9/24 | 2 - Minimal harm or potential for actual harm | Some |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | 6/7/24 | 8/9/24 | 2 - Minimal harm or potential for actual harm | Few |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Few |
PASARR screening for Mental disorders or Intellectual Disabilities | 6/7/24 | 8/9/24 | 2 - Minimal harm or potential for actual harm | Few |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | 6/7/24 | 8/9/24 | 2 - Minimal harm or potential for actual harm | Many |
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. | 6/7/24 | 9/27/24 | 2 - Minimal harm or potential for actual harm | Many |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Many |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Few |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | 6/7/24 | 8/9/24 | 1 - Potential for minimal harm | Many |
Honor the resident's right to organize and participate in resident/family groups in the facility. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Many |
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. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Many |
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. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Many |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | 6/7/24 | 8/9/24 | 2 - Minimal harm or potential for actual harm | Many |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Many |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
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. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Few |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Keep all essential equipment working safely. | 6/7/24 | 8/9/24 | 2 - Minimal harm or potential for actual harm | Many |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | 6/7/24 | 8/9/24 | 2 - Minimal harm or potential for actual harm | Many |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Many |
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Many |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Many |
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Many |
| Date of last standard health inspection: | 5/3/23Read the full report (PDF) |
| Date(s) of complaint inspection(s) between 3/1/23 - 2/29/24 | 1/16/24Read the full report (PDF) 12/5/23Read the full report (PDF) 11/8/23Read the full report (PDF) 10/21/23Read the full report (PDF) 10/12/23Read the full report (PDF) |
| Date(s) of infection control inspection(s) between 3/1/23 - 2/29/24 | 12/5/23Read the full report (PDF) |
| Total number of Health Deficiencies for this nursing home: | |
| Average number of Health Deficiencies in Illinois: | |
| Average number of Health Deficiencies in the United States: |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 10/12/23 | 10/20/23 | 2 - Minimal harm or potential for actual harm | Few |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 5/3/23 | 5/19/23 | 2 - Minimal harm or potential for actual harm | Few |
Respond appropriately to all alleged violations. | 5/3/23 | 5/19/23 | 2 - Minimal harm or potential for actual harm | Few |
Protect each resident from the wrongful use of the resident's belongings or money. | 10/12/23 | 10/20/23 | 2 - Minimal harm or potential for actual harm | Few |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | 1/16/24 | 2/5/24 | 2 - Minimal harm or potential for actual harm | Few |
Provide activities to meet all resident's needs. | 1/16/24 | 2/5/24 | 2 - Minimal harm or potential for actual harm | Many |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 1/16/24 | 2/5/24 | 2 - Minimal harm or potential for actual harm | Few |
Provide or obtain dental services for each resident. | 1/16/24 | 2/5/24 | 2 - Minimal harm or potential for actual harm | Few |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 9/1/23 | 9/19/23 | 2 - Minimal harm or potential for actual harm | Few |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 9/1/23 | 9/19/23 | 2 - Minimal harm or potential for actual harm | Few |
Provide activities to meet all resident's needs. | 5/3/23 | 5/19/23 | 2 - Minimal harm or potential for actual harm | Few |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | 5/3/23 | 5/19/23 | 2 - Minimal harm or potential for actual harm | Few |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 5/3/23 | 5/19/23 | 2 - Minimal harm or potential for actual harm | Few |
Provide safe and appropriate respiratory care for a resident when needed. | 5/3/23 | 5/19/23 | 2 - Minimal harm or potential for actual harm | Few |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 10/21/23 | 11/3/23 | 3 - Actual harm | Few |
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. | 5/3/23 | 5/19/23 | 2 - Minimal harm or potential for actual harm | Few |
| No Infection Control Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 12/5/23 | 12/21/23 | 2 - Minimal harm or potential for actual harm | Some |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
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. | 12/5/23 | 12/21/23 | 2 - Minimal harm or potential for actual harm | Many |
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. | 11/8/23 | 11/10/23 | 2 - Minimal harm or potential for actual harm | Many |
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | 5/3/23 | 5/19/23 | 2 - Minimal harm or potential for actual harm | Many |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | 1/16/24 | 2/5/24 | 2 - Minimal harm or potential for actual harm | Few |
Reasonably accommodate the needs and preferences of each resident. | 12/5/23 | 12/21/23 | 2 - Minimal harm or potential for actual harm | Few |
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. | 5/3/23 | 5/19/23 | 2 - Minimal harm or potential for actual harm | Few |
| No Nutrition and Dietary Deficiencies were found during this inspection period. |
| No Pharmacy Service Deficiencies were found during this inspection period. |
| No Environmental Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | 5/3/23 | 5/19/23 | 1 - Potential for minimal harm | Many |
| Date of last standard health inspection: | 6/10/22Read the full report (PDF) |
| Date(s) of complaint inspection(s) between 3/1/22 - 2/28/23 | 11/2/22Read the full report (PDF) |
| Date(s) of infection control inspection(s) between 3/1/22 - 2/28/23 | No infection control inspections |
| Total number of Health Deficiencies for this nursing home: | |
| Average number of Health Deficiencies in Illinois: | |
| Average number of Health Deficiencies in the United States: |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | 11/2/22 | 12/10/22 | 2 - Minimal harm or potential for actual harm | Few |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 7/7/22 | 8/1/22 | 3 - Actual harm | Few |
Provide safe, appropriate pain management for a resident who requires such services. | 7/7/22 | 8/1/22 | 3 - Actual harm | Few |
| No Infection Control Deficiencies were found during this inspection period. |
| No Resident Assessment and Care Planning Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | 6/10/22 | 6/25/22 | 2 - Minimal harm or potential for actual harm | Many |
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. | 5/3/22 | 5/16/22 | 2 - Minimal harm or potential for actual harm | Many |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
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. | 6/10/22 | 6/25/22 | 2 - Minimal harm or potential for actual harm | Few |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 6/10/22 | 6/25/22 | 2 - Minimal harm or potential for actual harm | Many |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 5/3/22 | 5/16/22 | 2 - Minimal harm or potential for actual harm | Few |
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. | 6/10/22 | 6/25/22 | 2 - Minimal harm or potential for actual harm | Few |
| No Environmental Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | 6/10/22 | 6/25/22 | 2 - Minimal harm or potential for actual harm | Many |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Protect each resident from the wrongful use of the resident's belongings or money. | 9/10/24 | 9/28/24 | 4 - Immediate jeopardy to resident health or safety | Some |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 9/10/24 | 9/28/24 | 4 - Immediate jeopardy to resident health or safety | Some |
Respond appropriately to all alleged violations. | 9/10/24 | 9/28/24 | 4 - Immediate jeopardy to resident health or safety | Some |
Provide activities to meet all resident's needs. | 6/7/24 | 8/9/24 | 2 - Minimal harm or potential for actual harm | Many |
Provide enough food/fluids to maintain a resident's health. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Some |
Provide activities to meet all resident's needs. | 12/12/24 | 12/13/24 | 2 - Minimal harm or potential for actual harm | Many |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 12/12/24 | 12/13/24 | 3 - Actual harm | Few |
Provide or get specialized rehabilitative services as required for a resident. | 3/9/24 | 3/19/24 | 2 - Minimal harm or potential for actual harm | Few |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Few |
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. | 6/7/24 | 7/10/24 | 2 - Minimal harm or potential for actual harm | Many |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | 10/12/23 | 10/20/23 | 2 - Minimal harm or potential for actual harm | Few |
Protect each resident from the wrongful use of the resident's belongings or money. | 10/12/23 | 10/20/23 | 2 - Minimal harm or potential for actual harm | Few |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | 1/16/24 | 2/5/24 | 2 - Minimal harm or potential for actual harm | Few |
Provide activities to meet all resident's needs. | 1/16/24 | 2/5/24 | 2 - Minimal harm or potential for actual harm | Many |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 1/16/24 | 2/5/24 | 2 - Minimal harm or potential for actual harm | Few |
Provide or obtain dental services for each resident. | 1/16/24 | 2/5/24 | 2 - Minimal harm or potential for actual harm | Few |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 9/1/23 | 9/19/23 | 2 - Minimal harm or potential for actual harm | Few |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 9/1/23 | 9/19/23 | 2 - Minimal harm or potential for actual harm | Few |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 10/21/23 | 11/3/23 | 3 - Actual harm | Few |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 12/5/23 | 12/21/23 | 2 - Minimal harm or potential for actual harm | Some |
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. | 12/5/23 | 12/21/23 | 2 - Minimal harm or potential for actual harm | Many |
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. | 11/8/23 | 11/10/23 | 2 - Minimal harm or potential for actual harm | Many |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | 1/16/24 | 2/5/24 | 2 - Minimal harm or potential for actual harm | Few |
Reasonably accommodate the needs and preferences of each resident. | 12/5/23 | 12/21/23 | 2 - Minimal harm or potential for actual harm | Few |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | 11/2/22 | 12/10/22 | 2 - Minimal harm or potential for actual harm | Few |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. | 7/7/22 | 8/1/22 | 3 - Actual harm | Few |
Provide safe, appropriate pain management for a resident who requires such services. | 7/7/22 | 8/1/22 | 3 - Actual harm | Few |
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. | 5/3/22 | 5/16/22 | 2 - Minimal harm or potential for actual harm | Many |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | 5/3/22 | 5/16/22 | 2 - Minimal harm or potential for actual harm | Few |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 12/5/23 | 12/21/23 | 2 - Minimal harm or potential for actual harm | Some |
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. | 12/5/23 | 12/21/23 | 2 - Minimal harm or potential for actual harm | Many |
Reasonably accommodate the needs and preferences of each resident. | 12/5/23 | 12/21/23 | 2 - Minimal harm or potential for actual harm | Few |