Health inspection·August 27, 2025

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few CNA called for another CNA to come and assist her. V4 CNA was using the sit to stand (mechanical lift) alone. There is always supposed to be 2 staff. V4 CNA did tell us the truth that she did use the sit to stand alone that day. When the other CNA V19 came they asked R3 if she was ok and R3 said she was ok. They both (V4 and V19) transferred her back to bed. I asked V4 CNA if she told the nurse, and V4 CNA said she did not because R3 said she was fine. V4 CNA was ignorant to the fact because she was new here and she was new to this type of job. R3 said this fall happened back in March 2025. When surveyor asked V3 DON if V4 CNA had proper training on lifts prior to this fall V3 stated V4 CNA did not have proper training prior to this. V4 CNA has had training since and we retrained her again yesterday and we are retraining all staff members. Fall event was done, we put an intervention for staff education on use of mechanical lifts.On 8/12/2025, at 10:57 AM, V1 Administrator stated I am now aware of a resident falling out of the lift. I was made aware yesterday. My expectation is that 2 staff should be using the mechanical lifts at all times.On 8/12/2025, at 11:11 AM, V7 Assistant Director of Nursing (ADON) stated I was made aware just yesterday of a resident falling out of a lift. That was the first I had heard of it. There should always be at least 2 staff members to use both mechanical lifts. My expectation of staff after a fall should notify the nurse, nurse should do head to toe assessment, notify doctor, if patient can be moved then the staff would safely transfer the patient back to bed.On 8/12/2025, at 2:09 PM, V3 DON stated I was not aware of R3's fall prior to yesterday. I started in servicing yesterday on timely reporting, and mechanical lift use. Prior to yesterday V4 CAN did not have any formal training on mechanical lifts except for the 3-day training with preceptor. I do not have any documentation of preceptor training for V4 CNA on mechanical lifts. Surveyor asked for the last mechanical lift training for the building. V3 DON stated she would provide to surveyor.On 8/12/2025, at 2:15 PM, V4 CNA stated I was using the lift by myself when R3 had her fall and then I called V19 CNA. V19 CNA helped me lift R3 from the floor to the bed. Neither one of us notified the nurse because R3 said she was ok. I know now to always use 2 people for lifts and to let nurse know right away.On 8/13/2025, at 10:23 AM, V3 DON provided Inservice for sit to stand lift and hoyer lift (mechanical lifts) for September 2024 and stated this is the only one I have. V3 DON states she does not have gait belt training in-services or documentation of training on gait belt use for nursing staff. Gait belt training is being started now. The mechanical lifts in-service does not actually say to use 2 people to use lift but in the picture it shows 2 people using lift.On 8/14/2015, at 2:27 PM V4 CNA stated my preceptors was V19 CNA and V24 CNA. I was precepted for like 2 weeks. I do not remember if I put the brakes on the sit to stand or the wheelchair. I did put the brakes on the wheelchair and the sit to stand. When surveyor stated first you said you do not remember and now you remember what is the correct answer? V4 stated I remember locking the wheelchair, but the sit to stand, I am not sure if I locked it. V24 showed me how to use the sit to stand when she precepted me. V24 showed me by telling me if I want to use sit to stand on resident I will bring the sit to stand toward the resident, V24 told me to lock the wheelchair, I will put the pad on her back crossing her arms, tell resident to hold handles, hook the belt under breast, use two fingers to make sure not to tight, then someone behind resident to guide and then I will lift the up button to raise resident, ask if they are ok, if resident says not ok lower resident and let nurse know. If resident ok, with help of helper unlock sit to stand and move resident to bed or chair and lower and remove belt. Make sure comfortable.Fall Incident reports provided to surveyor by V3 DON from 2/1/2025-8/11/2025 do not document any falls for R3.Fall Risk Observation form dated 8/30/2024 documents R3's fall risk score is 12 which is High Risk for Falls.R3's Progress note dated 8/11/2025 documents: Writer was informed by a staff member that the resident has a fall that occurred in March 2025 with (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145879 If continuation sheet Page 2 of 7 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145879 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Tri-State Village Nrsg & Rhb 2500 East 175th Street Lansing, IL 60438 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few FORM CMS-2567 (02/99) Previous Versions Obsolete no precised date. Writer asked the resident how the incident happened , and she stated The CNA was trying to get me from my wheelchair to bed using the Hoyer lifter and i slipped off and fell on my buttocks. Full body assessment performed, no redness , no deformation, no scar or bruises noted . The resident verbalized no pain nor discomfort at this time. Attending NP notified, family members unable to reach due to no contact info. will continue to monitor and assess.Care plan dated 11/18/2024 documents: Resident is limited in functional status in regards to the ability to transfer self. R3 requires the use of sit to stand machine for transfersGoals: In order to improve quality of life and participate in chosen activities, resident will be safely transferred utilizing Sit-to-stand lift through next review.Approach(es): Use appropriate equipment with any mechanical lift device (e.g. straps, slings).Utilize additional staff with transfers when needed.Observe for presence of pain/discomfort (such as verbalization, moaning, groaning, guarding and/or flinching) during transfers.Maintain body in functional alignment during transfers.Ensure safe placement of extremities during transfers.Ensure wheelchair is locked and secured prior to transfer.Provide appropriate foot wear prior to transferKeep call light in reach.Refer to restorative nursing as needed.Praise resident for efforts.Remind resident to not transfer without assistance.Instruct in use of assistive device sit to stand lift as needed.Ensure proper transfer technique.Follow PT/OT recommendations r/t transfer type and weight bearing status.Refer to PT/ OT with any change in transfer status. Care plan dated 8/30/2024 documents: R3 is at risk for falling R/T lower extremity weakness, numbness, and spasticity from multiple sclerosis.Goals: R3 will remain free from injury.Approach(es): Staff education for proper use of liftsOrient [NAME] when there has been new furniture placement or other changes in environment.Assure the floor is free of glare, liquids, foreign objects.Provide proper, well-maintained footwear.Leave night light on in room.Keep bed in lowest position with brakes locked.Keep personal items and frequently used items within reach.Keep call light in reach at all times.Provide R3 with an environment free of clutter.Obtain PT consult for strength training, toning, positioning, transfer training, mobility devices.Provide toileting assistance as needed.Give R3 verbal reminders not to transfer without assistance. Using a Portable Lifting Machine Policy (Revised August 2008) documents:Purpose: The purpose of this procedure is to help lift residents using a manual lifting devicePreparation: 1. Review the resident's care plan to assess for any special needs of the resident.General Guidelines: The portable lift should be used by two staff members. Falls Clinical Protocol Policy undated documents:Assessment and Recognition: 2. In addition, the nurse shall assess and document/report the following:a. Vital signsb. Recent injury, especially fracture or head injuryc. Musculoskeletal function, observing for change in normal range of motion, weight bearing, etc.d. Change in condition or level of consciousnesse. Neurological statusf. Paing. Frequency and number of falls since last physician visith. Precipitating factors, details on how fall occurredi. All current medications, especially those associated with dizziness or lethargyj. All active diagnoses5. The staff will evaluate and document falls that occur while the individual is in the facilty; for example, when and where they happen, any observations of the events, etc.Cause Identification1. For an individual who has fallen, staff will attempt to define possible causes within 24 hours of the fall. Event ID: Facility ID: 145879 If continuation sheet Page 3 of 7 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145879 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Tri-State Village Nrsg & Rhb 2500 East 175th Street Lansing, IL 60438 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0940 Develop, implement, and/or maintain an effective training program for all new and existing staff members. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review, the facility failed to follow their policy and facility assessment and assure competency of each employee for proper transferring technique to safely transfer residents. This includes gait belt use training for all nursing staff and mechanical lift training for 7 Certified Nursing Assistants. This failure affected one resident R3 and has the ability to affect all 76 residents in the facility.Findings include:R3 is a [AGE] year-old resident admitted to the facility on [DATE] with diagnoses including but not limited to: Paraplegia, Multiple Sclerosis, and morbid obesity.R3's Minimum Data Set (MDS) dated [DATE] section C0500 documents Brief Interview for Mental Status (BIMS) score = 15 which suggests cognition is intact. Section GG0130 documents resident needs set up or clean up assistance for eating. Resident needs partial/moderate assistance for upper body dressing. Resident needs substantial/maximal assistance for oral hygiene, shower/bathe self, lower body dressing, and personal hygiene. Resident is dependent on staff for toileting hygiene and putting on/taking off footwear.On 8/11/2025, at 10:56 AM, R3 stated I did have a fall from the sit to stand (mechanical lift). That was in March this year. V4 Certified Nursing Assistant (CNA) was new. It was just one person (V4) helping me when I fell. She starts at 2pm and works 2nd shift. I told V3 Director of Nursing (DON) what happened. V3 DON did not look at my hip or anything.On 8/11/2025, at 2:16 PM, V4 CNA stated I have worked with R3 before. I do recall moving R3 in a sit to stand (mechanical lift) and R3 had a fall. I called someone to help me get her back up off the floor to the bed. I was using the lift with V19 CNA my coworker. V19 CNA is out of the country on vacation right now. I was new then. This is my first experience as a CNA. We (V19 and I) put the pad on R3's back as we were about to lift her R3 was sort of afraid, so we tried to calm her down. In the process, R3 dropped from the chair to the floor. R3 has a leg problem. R3 normally uses her hand to pull her leg up. I called for someone else to help. It was another CNA. I do not know her name, I don't think she no longer works here. She oriented me. I was new and I did not report to the nurse. I asked R3 if she had any problem at all, and she said no. We helped her back to bed, V19 and myself. The other CNA was just watching us. V19 and I lifted R3 up from the floor with the hoyer (mechanical lift). There was no nurse in the room. I am unaware of any other residents that fell from the lifts. So, after the fall V3 DON and V7 ADON called me to the office and told me to always use the hoyer (mechanical lift) with another person. I think V3 DON and V7 ADON knew R3 had a fall. I was a new CNA, so they were just telling me what to do and what not to do. I am not sure if they knew. If I see a resident on the floor, we let the nurse know right away and get help to assist the resident up after the nurse sees them. The fall with the sit to stand (mechanical lift) with R3 happened somewhere between March 17th this year when I started to April this year. Maybe like 2-3 weeks after I started.On 8/12/2025, at 9:30 AM V3 DON stated we did a fall event for the fall with R3 for yesterday because we were notified yesterday of the event. We interviewed R3 and she said V4 CNA was trying to transfer from chair to sit to stand (mechanical lift) to put her in the bed, but it seemed like the chair was not locked because the chair moved, so she slid to the floor. V4 CNA called for another CNA to come and assist her. V4 CNA was using the sit to stand (mechanical lift) alone. There is always supposed to be 2 staff. V4 CNA did tell us the truth that she did use the sit to stand alone that day. When the other CNA V19 came they asked R3 if she was ok and R3 said she was ok. They both (V4 and V19) transferred her back to bed. I asked V4 CNA if she told the nurse, and V4 CNA said she did not because R3 said she was fine. V4 CNA was ignorant to the fact because she was new here and she was new to this type of job. R3 said this fall happened back in March 2025. When surveyor asked V3 DON if V4 CNA had proper training on Residents Affected - Many (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145879 If continuation sheet Page 4 of 7 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145879 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Tri-State Village Nrsg & Rhb 2500 East 175th Street Lansing, IL 60438 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0940 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many lifts prior to this fall V3 stated V4 CNA did not have proper training prior to this. V4 CNA has had training since and we retrained her again yesterday and we are retraining all staff members. Fall event was done, we put an intervention for staff education on use of mechanical lifts.On 8/12/2025, at 10:57 AM, V1 Administrator stated I am now aware of a resident falling out of the lift. I was made aware yesterday. My expectation is that 2 staff should be using the mechanical lifts at all times.On 8/12/2025, at 11:11 AM, V7 Assistant Director of Nursing (ADON) stated I was made aware just yesterday of a resident falling out of a lift. That was the first I had heard of it. There should always be at least 2 staff members to use both mechanical lifts. My expectation of staff after a fall should notify the nurse, nurse should do head to toe assessment, notify doctor, if patient can be moved then the staff would safely transfer the patient back to bed.On 8/12/2025, at 2:09 PM, V3 DON stated I was not aware of R3's fall prior to yesterday. I started in servicing yesterday on timely reporting, and mechanical lift use. Prior to yesterday V4 CAN did not have any formal training on mechanical lifts except for the 3-day training with preceptor. I do not have any documentation of preceptor training for V4 CNA on mechanical lifts. Surveyor asked for the last mechanical lift training for the building. V3 DON stated she would provide to surveyor.On 8/12/2025, at 2:15 PM, V4 CNA stated I was using the lift by myself when R3 had her fall and then I called V19 CNA. V19 CNA helped me lift R3 from the floor to the bed. Neither one of us notified the nurse because R3 said she was ok. I know now to always use 2 people for lifts and to let nurse know right away.On 8/12/2025, V3 DON brought in in-services for V4 and went over with surveyor. The inservices included: elopement, lifting safety (not including mechanical lifts or gait belt use), abuse, ADL care, bathing, bowel and bladder, call light, hand washing, pressure wounds. Meeting agenda provided by V3 documents training on phones/earpieces, dining room times, staying on your unit, outside food, taking pictures/patient privacy, customer service, urinals/trash bags, ADL care - Pressure Ulcer prevention. I will scan them to you. That is all the training that V4 has had from us other than her new hire training we provided to you already and the training yesterday for lifts. New hire training checklist dated 3/17/2025 documents: Abuse and Neglect Policy/VIDEO, Benefit Package & Enrollment Procedures, Bloodborne Pathogens/Video, Corporate Compliance Program/Video, Corrective Action Program/Attendance, Customer Service/Video, Dementia & Alzheimers/Video, Employee Handbook (policies & procedures), Facility Tour, Procedures Emergency, Fire and Disaster, Harassment Policy, Health Requirements/Reportable Conditions, HIPAA and Confidentiality/Video, Infection Control/Video, Job Description, OSHA/Safety in the Workplace/Video, Payroll Policies & Procedures, Pressure Ulcer Prevention/WOW/Video, Reporting Guidelined for Critical Incidents, Resident Rights, Schedules/Call-in Procedures/Meals/Breaks, Timekeeping Procedures & ID Badge, and Dress Code Guidelines.On 8/13/2025, at 1:41 PM, V17 CNA stated I have been trained on the mechanical lifts when I first started working here in 2023. I know I signed one today, but I do not know when the last time I signed an in-service for mechanical lifts or gait belt was. I think they talked about it like 3 months ago but I did not sign anything. On 8/13/2025, at 2:08 PM V18 CNA stated I was trained on mechanical lifts in orientation December 9, 2023. I did not sign something for that they just oriented me to the lifts in on the floor orientation. That was the only time I was trained on the lifts. I already had experience working with lifts at other places. In the summer of 2024, they told us we had to use gait belts and if we needed training we could ask restorative that they were available to show us how to use them. I told them I already knew how to use a gait belt from a previous job. I did not get any training on gait belts here as I already knew how to use them, but it was offeredOn 8/12/2025, at 2:37 PM V3 DON stated the only inservices we provide regarding transfers is this lifting safety precautions policy (which does not include mechanical lift use or (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145879 If continuation sheet Page 5 of 7 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145879 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Tri-State Village Nrsg & Rhb 2500 East 175th Street Lansing, IL 60438 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0940 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many gait belt use). I do not have any documentation for education on use of mechanical lifts for staff. I will look up the policy and start one immediately.On 8/13/2025, at 10:23 AM, V3 DON provided Inservice for sit to stand lift and hoyer lift (mechanical lifts) for September 2024 and stated this is the only one I have. V3 DON states she does not have gait belt training in-services or documentation of training on gait belt use for any nursing staff. Gait belt training is being started now. The mechanical lifts in-service does not actually say to use 2 people to use lift but in the picture it shows 2 people using lift.On 8/14/2025, at 11:12 AM V3 DON stated I have only been given the monthly in-services we have been doing. I am unsure if we do yearly competencies on nursing staff. We have not done a competency fair since I have been here. I have worked here a year on 8/12/2025. When asked how do you evaluate the nursing staff competencies DON states I evaluate the nursing staff by inservices and checklist. The staff has to do return demonstrations on some of in-services. If the staff is uncomfortable in their skill they can ask for retraining from their preceptor or other coworkers. I have a lead CNA on the floor rounding and monitoring CNA tasks. My ADON also has done in-services with return demonstrations. We are starting a yearly competency fair going forward, but we do monthly trainings. We did have one scheduled, but JCHO came last year and it got cancelled. It will be scheduled in the near future hopefully in September. 7 current CNA's did not get trained on mechanical lifts according to the in-service sign in sheet dated September 2024. One CNA was here at that time in September 2024, I am not sure why she did not get trained. The other 6 CNA's hire dates were after that in-service. I am almost done training all staff with the new training I started a couple days ago for mechanical lifts.On 8/14/2015, at 2:27 PM V4 CNA stated my preceptors was V19 CNA and V24 CNA. I was precepted for like 2 weeks. I do not remember if I put the brakes on the sit to stand or the wheelchair. I did put the brakes on the wheelchair and the sit to stand. When surveyor stated first you said you do not remember and now you remember what is the correct answer? V4 stated I remember locking the wheelchair, but the sit to stand, I am not sure if I locked it. V24 showed me how to use the sit to stand when she precepted me. V24 showed me by telling me if I want to use sit to stand on resident I will bring the sit to stand toward the resident, V24 told me to lock the wheelchair, I will put the pad on her back crossing her arms, tell resident to hold handles, hook the belt under breast, use two fingers to make sure not to tight, then someone behind resident to guide and then I will lift the up button to raise resident, ask if they are ok, if resident says not ok lower resident and let nurse know. If resident ok, with help of helper unlock sit to stand and move resident to bed or chair and lower and remove belt. Make sure comfortable.In-service for Hoyer Lift and Sit to stand lift dated September 2024 does not include the following currently employed Certified Nursing Assistants: V4, V13, V17, V20, V21, V22, V23.Progress note dated 8/11/2025 documents: Writer was informed by a staff member that the resident has a fall that occurred in March 2025 with no precised date. Writer asked the resident how the incident happened , and she stated The CNA was trying to get me from my wheelchair to bed using the [NAME] lifter and i slipped off and fell on my buttocks. Full body assessment performed, no redness , no deformation, no scar or bruises noted . The resident verbalized no pain nor discomfort at this time. Attending NP notified, family members unable to reach due to no contact info. will continue to monitor and assess.Orientation and Inservice Training Policy undated documents:Policy: It is the policy of this facility to assure competency of each employee by providing orientation and continuing educational inservice programs for all employees, which are planned and conducted for the development and improvement of skills, including training related to problems in specific job assignments.AndThat staff have qualifications that are commensurated with defined responsibilities, applicable licensure, laws, regulations, and certification to meet the (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145879 If continuation sheet Page 6 of 7 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145879 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Tri-State Village Nrsg & Rhb 2500 East 175th Street Lansing, IL 60438 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

F 0940 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many FORM CMS-2567 (02/99) Previous Versions Obsolete resident's needs.Standards:3. Orientation and initial job training and assessment of staff member's ability to perform specific job duties will be provided for all employees by the respective Department Director or designated staff member prior to working independently.4. Department Directors shall monitor the competency of all staff by observation(s) to continually identify retraining needs in order to assist the employee to improve throughout their employment. Theses competencies include: nursing, oral or nutritional care, rehabilitation, environmental, social service, activities or other functional needs.5. Training of facility personnel shall be supervised by the Department Director and/or their qualified designee.Facility Assessment tool dated 1/17/2025 documents:Part 2: Services and Care We Offer Based on our Residents' NeedsResident support/care needs2.1 List the types of care that your resident population requires and that you provide for your resident population. List by general categories, adding specifics as needed. It is not expected that you quantify each care or practice in terms of the number of residents that need that care, or enter an aggregate of all resident care plans here. The intent is to identify and reflect on resources needed (in Section 3) to provide these types of care.General Care Specific Care or PracticesActivities of daily living Bathing, showers, oral/denture care, dressing, eating, support with needs related to hearing/vision/sensory impairment; supporting resident independence in doing as much of these activities by himself/herselfMobility and fall/fall with Transfers, ambulation, restoreative nursing, contracture Injury prevention prevention/care; supporting resident independence in doing as much of these activities by himself/herself 3.4 Describe the staff training/education and competencies that are necessary to provid the level and types of support and care needed for your resident population. Include staff certification requirements as applicable. Potential data resources include hiring, education, training, competency instruction, and testing policies. Aside from having licensure/certifications as required by law, the facliity has a comprehensive orientation program and annual in-service calendar. As needed, the facility continues to re-educate staff on specific areas of improvement. Included: Orientation checklist, In-service Calendar, Nurse & CNA Competency.Physical environment and building/plant needs3.8 List physical resources for the following categories. Review the resources in the example below and modify as needed. If applicable, describe your processes to ensure adequate supplies and to ensure equipment is maintained to protect and promote the health and safety of residents. Physical equipment Bath benches, shower chairs, bathroom Maintenance Director to keep in safety bars, bathing tubs, sinks for good working conditions. Residents and for staff, scales, bed scales Accurate Scale for all lifts and Ventilators, wheelchairs and associated scales. Positioning devices, bariatric beds, Contracted companies for Bariatric wheelchairs, lifts, lift slings, bed all DME's (durable medical Frames, mattresses, room and common equipment that are needed. Space furniture, exercise equipment, Therapy tables/equipment, walkers, Canes, nightlights, steam table, oxygen Tanks and tubing, dialysis chair and Station, ventilators Event ID: Facility ID: 145879 If continuation sheet Page 7 of 7