Our staff will assess the following areas of care, up to and including nursing home abuse and neglect. Our nursing home advocates assess these areas through direct observation, interview of client, interview of staff, and review of medical records to ensure compliance with federal and state regulations and proper standards of care.

Resident Rights

  • Exercise rights
  • Access to clinical records
  • Informed of health status and/or medical condition
  • Privacy and confidentiality
  • Resolve grievances and/or concerns
  • Access and visitation of family, friends, etc.
  • Refusal of certain transfers

Admission, Transfer and Discharge Rights

  • Reason for transfer/discharge
  • Documentation for transfer/discharge
  • Proper notice before transfer/discharge
  • Orientation for transfer/discharge
  • Admission policies

Nursing Services

  • Sufficient nursing staff on a 24-hour basis
  • Use of charge nurse and Registered Nurse

Infection Control

  • Universal precautions are used
  • Hand washing
  • Linen handling to prevent infection

Resident Assessment

  • Physician orders at admission
  • Comprehensive assessments
  • Assessment frequencies-no later than 14 days
  • Assessment after significant change
  • Assessment every 12 months
  • Quarterly review of assessments
  • Accuracy of assessments/coordination with professionals
  • Develop comprehensive care plans
  • Review of comprehensive care plans
  • Services provided meet with professional standards
  • Qualified services in accordance with care plans
  • Discharge summary
  • Post discharge plan of care
  • PASRR requirements for MI and MR residents
  • Access to 15 months of MDS records

Resident Behavior and Facility Practices

  • Right to be free from physical restraints
  • Right to be free from chemical restraints
  • Right to be free from abuse
  • Staff treatment of resident

Dietary Services

  • Appropriate diet
  • Menus meet the resident needs and are followed
  • Food preparation/palatable/temperature
  • Food form meets individual needs
  • Frequency of meals
  • Adaptive eating equipment/utensils
  • Sanity food preparation/distribution/storage
  • Proper disposal of garbage and refuse

Specialized Rehab Services

  • Specialized Rehab Services


  • Attend care plan conferences (if invited)
  • Attend assessment meetings (if invited)
  • Attend clinical meetings (if invited)

Physical Environment

  • Facility is designed to protect the health/safety of residents
  • Essential equipment in safe condition
  • No more than four residents per room
  • Rooms have adequate square footage
  • Room-access to exit corridor
  • Room-assurance of visual privacy
  • Room-at least one window to the outside
  • Rooms-Toilet and bathing facilities
  • Resident call system
  • Environment is safe/functional/sanitary/comfortable
  • Corridors have firmly secured handrails
  • Maintain effective pest control program

Quality of Life

  • Facility promotes/enhances quality of life
  • Dignity
  • Self determination-resident makes choices
  • Resident participation in resident and/or family council
  • Facility listens and responds to resident and/or family council
  • Resident participation in activities
  • Accommodation of needs and preferences
  • Notice before a room and/or a roommate change
  • Activity program meets individual needs
  • Medically related social services
  • Safe/clean/comfortable/homelike environment
  • Housekeeping and Maintenance services
  • Clean linens in good condition
  • Adequate and comfortable lighting levels
  • Comfortable and safe temperature levels
  • Comfortable sound levels

Guardians of Care is dedicated to ensuring our clients get the best possible care while helping family members identify the signs of elder abuse and neglect. Click on the headings above to discover exactly how we can help choose the right nursing home and continue being a nursing home advocate thereafter.