N.J. Admin. Code § 8:36-21.1

Current through Register Vol. 56, No. 11, June 3, 2024

Section 8:36-21.1 - Quality improvement program

(a) The facility shall establish and implement a written plan for a quality improvement program for resident care. The plan shall specify a timetable and the person(s) responsible for the quality improvement program and shall provide for ongoing monitoring of staff and resident care services.

(b) Quality improvement activities shall include, but not be limited to, the following:

1. At least annual review of staff qualifications and credentials;

2. At least annual review of staff orientation and staff education;

3. Establishment of objective criteria for evaluation of the resident care provided by each service area;

4. Evaluation of resident care services, staffing, infection prevention and control, housekeeping, sanitation, safety, maintenance of physical plant and equipment, resident care statistics, and discharge planning services;

5. Review of medication errors and adverse drug reactions by the pharmacist; and

6. Evaluation by residents and their families of care and services provided by the facility.

(c) The results of the quality improvement program shall be submitted to the licensed operator at least annually and shall include, at a minimum, the deficiencies found and recommendations for corrections or improvements. Deficiencies that jeopardize resident safety shall be reported to the licensed operator immediately.

(d) The administrator shall implement measures to ensure that corrections or improvements are made.

N.J. Admin. Code § 8:36-21.1