| Medication, Health Care, and
Needs Assessment |
Yes |
No |
| Residence has specific policies regarding medication
such as, storage of, assistance with, training of staff, supervision
of staff, and record keeping |
|
|
| Is self-administration of medication allowed? |
|
|
| A staff person is available to coordinate
home care visits from a nurse, physical therapist, occupational
therapist, etc. if needed |
|
|
| Trained staff is available to assist residents who
experience memory, orientation, or judgment losses |
|
|
| A physician or nurse regularly visits the residents |
|
|
| Residence has a clearly stated procedure for responding
to a resident’s medical emergency |
|
|
| A list of all offered services is provided |
|
|
| Staff is available to provide 24-hour assistance
with activities of daily living (dressing, eating, mobility, hygiene,
grooming, bathing, etc.) |
|
|
| Transportation to Doctor appointments is provided |
|
|
| Housekeeping service for individual units is provided |
|
|
| Pharmacy, barber/beautician and/or physical therapy
services are offered on-site or transportation can be arranged
with short notice |
|
|
| Written plan of care for each resident |
|
|
| Residence has a process for assessing a potential
resident’s need for services |
|
|
| Residence has a process for ensuring needs and services
are reevaluated periodically |
|
|
| The process includes the resident, his or her family,
facility staff, and the resident’s physician |
|
|
| There is sufficient staff to meet the resident’s
needs |
|
|
