Activity Director Introductions
The Activity Director, staff and volunteers take the initiative to introduce themselves to residents and visitors at the facility. Residents are oriented to the activities program, including an introduction to activity staff, receive a copy of the current activity calendar and an explanation regarding locations and times of routine activity programs.

Activity Director Identification
The names and titles of staff members who work in the Activities Department are displayed in the activities room.

Diverse Activities Program
The residents' physical, cognitive, social, emotional and spiritual interests are met with our diverse activities program. Activities are planned to be meaningful to the residents and to meet their individual interests.

Welcome Committee
The facility has a welcome committee that greets new residents, families and staff members. Information is shared on such items such as activities, resident council, community outings, and specific locations within the facility.

Activities Program
• Our activities program promises to meet the following criteria.
• Psycho-social group activities at least 3 times per week.
• Sensory/cognitive stimulation at least 3 times per week.
• Target psychosocial and cognitive sensory stimulation for residents with decreased/impaired cognitive levels of functioning at least 5 times per week.
• Current events at least 2 times per week.
• Religious services at least once per week.
• Specialty groups for both male and female at least once per week.
• Cultural programs at least once per week.
• Physical activity at least 3 times per week.
• Intergenerational sharing at least once per month.
• Pet therapy at least once per month.
• Two activities each day of the weekend - 1 not religious each day.
• Two evening programs per week.
• At least one seasonal, holiday, or special event per month.
• At least one community outing provided per month.
• At least 2 self-directed activities for residents per week.

Monthly Activity Calendar
Residents are invited to participate in our activities program and there are monthly activity calendars placed in common areas and in each resident room. The activity calendar is placed at eye level and is attractive and legible for reading. The activity program also has a variety of supplies for activities and leisure time activities.

Daily Information
Residents are provided with daily information on events, time, weather, menu, and location. These are presented by a morning announcement and information posted on various bulletin boards. Residents have access to current magazines and newspapers.

Appropriate Activity Announcements
Our Activities Departments goes beyond expectations by stressing the importance of resident activities by posting notices and making appropriate announcements in advance of scheduled programs. We notify residents and staff of any changes in the activity calendar so as not to inconvenience them.

Assistance to and from Activities
Residents are provided timely and courteous assistance to and from activities.

Resident Family Involvement
We encourage resident families to be part of our care by encouraging their visits and suggesting that they be part of our family council, volunteer program, and to attend care plan meetings and discharge meetings regarding the care of their loved one.

Volunteer Program
The facility has an active volunteer program with trained volunteers who offer both group and one-on-one programs.

Entertainment During Meals
The facility provides for periodic entertainment before and during resident meals.

Social Service Introductions
The social worker introduces him/herself within 24 hours of admission and assists the family in the smooth transition from home or hospital to the facility. One of the roles of the social worker is to assist the family in the transition and acceptance of the need for nursing home placement. The social worker makes weekly contact wit resident/famil for the first month after admission and on an as needed basis thereafter.

Social Service Goals and Assessment
The facility provides social services to attain or maintain the highest practical physical, mental, and psychosocial well-being of each resident. The facility provides medically-related social services to attain the highest practical physical, mental, and psychosocial well-being of each resident. Within 14 days of admission a complete pyscho-social assessment which includes a social history and an evaluation of the resident's social, emotional, and cognitive status is conducted.

Availability of Social Services
The social worker is available and responsive to any needs or concerns that the resident or family has during the resident's stay. The social worker provides for documented medically-related social intervention.

Services and Information on Community Resources
The social worker provides supportive services and information on community resources available to the resident and their family prior to, during, and for post stay services.

Administrator Introductions
The administrator will introduce him/herself to each new resident and be available during business hours to meet with any resident and/or responsible party. The administrator encourages residnets and families to share both positive experiences and any concerns they may have during their stay. Our goal is to be visible, responsive, and provide a caring and supportive environment for each resident and their family.

Accountability of the Administrator
The administrator is responsible for the overall management and smooth operations of the facility and is accountable to help mediate any concerns or issues that the resident and/or their responsible party may have.

Introduction to Dietary
• Within 24 hours after admission, the Dietary Manager or designee will visit the resident to discuss:
• Food preferences, special meal patterns and requests
• Food allergies
• Meal times
• Assigned dining room seating
• Explanation of diet order, as needed

Facility Dietician and Dietary Manager
The Dietary Manager and Registered Dietician complete a nutritional assessment on all nursing home residents after admission and monitor every 90 days. The Dietary Manager works with the Consultant Dietician who visits each month.

Supervision During Meals
The nursing staff provides residents with supervision, assistance and encouragement during meal service. The nursing staff position residents and set up meal trays for optimum ability to self feed. When adaptive eating devices are needed, they are provided. Rehab dining areas are available for residents who need feeding assistance.

Procedures for Meal Service
New residents are introduced to other residents in the dining room. Nursing staff orients the new resident to seat assignments and the procedures for meal service. The facility has a simplified diet program to encourage good intake. The dietary department provides each resident with an attractive, palatable meal that meets the nutritional needs of the resident. Physician ordered diets are followed as part of the nutritional medical therapy.

Well Balanced Meals
Our dietary department strives to provide a well balanced meal to each resident that follows the diet order and is respectful of their likes and dislikes. Food is prepared in a manner that preserves nutrients and is presented in a way that is appealing to the resident. The dietary associates are sensitive to cultural backgrounds and the special food likes and dislikes of each resident. Meal substitutions are available and easy to obtain at each meal if the resident so desires.

Portion Sizes of Meals
Portion sizes are determined by state and federal requirements to meet the individual needs of each resident and are monitored for consumption and satisfaction.

Snacks and Supplements
Residents receive snacks in a form that is appropriate. Supplements are nourishments that are provided to residents at nutritional risk as determined by the nutritional assessment, care planning process, and physician orders.

Meal Satisfaction
Meal satisfaction is measured in many different ways, including proper charting of food eaten after each meal, resident feedback during and after meals, and as part of the resident/family satisfaction survey process. We are responsive to issues brought up by family and residents. We involve our vendors and corporate staff in assuring the quality of meals we prepare and the ongoing improvement of our dietary services.

Sanitation
We encourage our dietary associates to take pride in the kitchen and dining room. Thorough cleaning is done daily as well as a clean as you go approach. Good persona hygiene and appropriate uniform is expected by our professional dietary staff.

Professional and Courteous Dietary Associates
The Dietary Associates are courteous to residents, visitors and other associates. Our dietary staff is encouraged to minimize noise levels from talking, laughing, and banging pots and pans that can interfere with pleasant dining.

Assistance with Dining
The nursing staff makes sure the residents are ready for meal service by taking them to the restroom and putting clothing protectors on them if they desire. When entering the dining room residents are greeted with a smile and by name. Assistance is given to residents who need help finding their seat assignment. If an alternate food is requested, we make every effort to satisfy the request. We offer adequate time for residents to eat their meal at their own pace. A nurse is always in the dining room during the meal period.

Posted Menus
Menus, including alternatives, are displayed for residents, visitor and staff to know what is being served for each meal by day. Dated menus are adjusted for regional preferences and resident food preferences and choices. Residents are served different menus for holidays and special occasions.

Meal Schedules
Meals are served so that there is no more than 14 hours between the evening meal and breakfast. If the meal schedule is in conflict with an individual resident's customary meal schedule prior to residing in the center, alternate provisions can be made. Associate meal service does not conflict with resident meal service.

Posted Meal Times
Meal times are posted along with the menus in an attractive manner visible for residents and guests to see.

Quality of Food
Food is obtained from approved vendors and prepared in a manner to preserve color, flavor, and nutrients. Hot foods are served hot and cold foods are served cold to promote food safety and palatability. Food is transported in a manner that maintains sanitation and temperature.

Service After Meals
After meals the dining room area is serviced promptly for food that may have spilled onto the table, chairs or floor. Residents are cleaned, when appropriate, after meals prior to leaving their dining area. Residents are assisted back to their rooms.

Environmental Service Introductions
The department supervisors of each of the enviromental service departments introduce themselves to new residents during the first days after admission. These departments include housekeeping, maintenance and laundry services.

Routines of Environmental Services
The housekeeping staff explain their routine to fellow staff and residents so as to not inconvenience them during cleaning times. The laundry department also notifies staff of when linens and laundry are to be returned to the resident areas. Housekeepers introduce themselves to new residents and interact with a friendly smile and are friendly while in residents rooms.

Providing a Clean and Safe Environment
Our Environmental services includes our maintenance department, housekeeping department and laundry department. We provide for a clean and safe environment for our residents and also for our staff and visitors.

Facility Design
The facility is designed, constructed, equipped, and maintained to protect the health and safety of residents, personnel, and the public. The facility provides a safe, clean, comfortable, and homelike environment. The facility maintains all essential mechanical, electical, and patient care equipment in safe operating condition.

Adequate Space Within the Facility
There is sufficient space for dining, health services, recreation and other programs available as needed by the residents. The facility is designed to enable residents to maintain unassisted functioning as much as possible. This includes adaptations such as furniture and adaptive equipment that enable residents to stand independently, transfer without assistance, and residents with dementia to walk freely.

Facility Maintained in Good Repair
The interior and exterior of the facility is maintained and in good repair. The lawn and flower beds are maintained and free of weeds. Outside areas are clean of trash and there are outside areas for residents to enjoy and visit with others. The interior walls are kept clean and free of chips in the paint or damage to the wallpaper. Ceiling tiles are in place and clean.

Outside Areas
The outside areas are clean and kept in good repair for residents and visitors.

Adequate Ventilation
There is adequate ventilation to provide adequate air circulation and to control temperature, humidity and odor levels.

Homelike Environment
We are aware of our role in making the building as homelike as possible. We take time to interact positively with residents and strive to keep their room and belongings in good repair. We recognize their room as their home. We always knock and enter rooms as if we were invited into their home and we speak in a courteous and respectful manner at all times. The interior of the facility is attractive and provides as homelike an environment as possible. There is appropriate lighting, walls and floors are clean, and furniture is maintained and in good repair. The resident's room has appropriate lighting and maintained at an appropriate temperature for resident comfort. Draperies/blinds are in good repair.

Cleanlines of the Facility
The facility is kept clean, including wall covering free of stains, tears, or chips. Floors are kept clean and furnishings are clean and dust free. Wet floor signs are used and respected by staff to prevent accidents. The bed and chair in each room is in good repair. The chair and mattress are clean and comfortable. Each resident room has adequate soap, towels, and paper products to meet resident needs. We make sure that the room is in good repair and that all the curtains are functional, heaters and air conditioners are operational, closets are cleaned and in good repair and that the bathroom is functional and that the sink and commode are not dripping or running.

Resident Call Cords
A call cord is next to each bed and easy for residents to use. There is also a convenient call cord in the bathroom.

Houskeeping Needs Around the Clock
We have a procedure for handling housekeeping needs around the clock and have instructed various departments and shifts on how to clean up an "accident" on their shift when a housekeeper may not be available. We provide recognition and appreciation when other staff help to keep our facility clean and in good repair.

Maintenance Requests
The facility has a system to notify maintenance or repair requests and there is an emphasis on responding back to the person who made the request stating the repair was either made or the status of the repair, i.e. parts have been ordered or the equipment cannot be repaired and needs replaced.

Minimum Noise Levels
Housekeeping noises, such as vacuum cleaners, are kept to a minimum during resident activities or when visitors are in the lobby area. Music and television selections are the resident's choice and/or appropriate to their interests.

Odor Free Facility
The facility is free of offensive odors at all times.

Resident Clothing
Resident clothing is kept in good repair. When clothing needs exist the family is notified and appropriate measures are taken to mend clothing until they can be replaced.

Adequate Supply of Linens
An adequate supply of clean and stain-free linens are available at the facility at all times. Personal clothing that the facility launders is returned in a timely manner. Clothes that are returned from the laundry match, i.e. socks.