Millard County Care and Rehabilitation

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

Rule F0842. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jun 19, 2026.

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

Rule F0552. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 19, 2026.

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

Rule F0605. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 19, 2026.

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

Rule F0609. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 19, 2026.

Respond appropriately to all alleged violations.

Rule F0610. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 19, 2026.

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

Rule F0756. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 19, 2026.

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.

Rule F0761. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 19, 2026.

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Rule F0867. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 19, 2026.

Provide and implement an infection prevention and control program.

Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 19, 2026.

Implement a program that monitors antibiotic use.

Rule F0881. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 19, 2026.

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

Rule F0686. G: actual harm. Correction date, as CMS recorded it: Mar 24, 2024.

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

Rule F0580. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

Ensure each resident receives an accurate assessment.

Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

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

Rule F0655. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

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

Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Rule F0684. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

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

Rule F0756. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Rule F0757. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

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.

Rule F0758. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

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.

Rule F0761. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Rule F0773. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

Keep complete, dated laboratory records in the resident’s record.

Rule F0775. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

Keep signed and dated reports of x-rays and other diagnostic services in the residents record.

Rule F0779. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

Provide or obtain dental services for each resident.

Rule F0791. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Rule F0808. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service.

Rule F0840. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

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.

Rule F0849. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

Provide and implement an infection prevention and control program.

Rule F0880. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Rule F0882. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 24, 2024.