TITLE: MDS Coordinator DEPARTMENT: Administration SUPERVISION: Administrator POSITION GOAL: As a member of the nursing management team, the MDS Coordinator will manage the Minimum Data Set (MDS) requirements and ensure compliance in all areas. This position will support the efforts of maintaining compliance with State and Federal regulations and facility policies and procedures. ENVIRONMENT: Geriatric care is provided in a one story attractive facility. ESSENTIAL FUNCTION & RESPONSIBILITIES: 1. Demonstrates Appropriate Knowledge and Skills Necessary to Plan, Coordinate, and Organize the requirements of the MDS process. Maintains MDS schedule within stated MDS time frames and informs Social Services staff and nursing staff of pending MDS assessments. Generates and distributes monthly MDS calendar. Creates new assessments on electronic system according to MDS schedule. Coordinates and attends quarterly and annual MDS meetings. Generates quarterly meetings of the interdisciplinary care plan. Completes all MDS assessments, CAAs and Care Plans timely and accurately and obtains signatures of all team members involved in completing the assessments. Signs MDS for completeness. Transmits electronic copy of assessments to Centers for Medicare and Medicaid (CMS) timely and accurately. Creates, signs, and transmits reentry and discharge tracking forms. Reconciles all transmissions to CMS. Creates and transmits any MDS assessments that need correction. Works with CNA preceptors to ensure timely and complete CNA documentation. Work with team members to assure good communication of resident needs and goals. Assumes responsibility for own self-evaluation and learning. Must be knowledgeable of all changes in MDS requirements that may affect accurate completion of assessments. Is self-directed and responsible for completing all required documentation. Develops comprehensive care plans for facility residents in coordination with the MDS that accurately addresses the needs of the resident. Coordinates and monitors the review of nurse's notes to determine if the care plan is being followed. Monitors resident status changes to ensure appropriate timely nursing or clinical team involvement. Performs regular audits of documentation to assure accuracy and they meet regulatory expectations. 2. Demonstrates Appropriate Knowledge and Skills to Function as a Leader and/or Manager of the MDS Process Handles all problems and employees in a professional, consistent and fair manner. Maintains correct and professional communications with the public, residents, employees and other agencies, reflecting the mission of the facility. Provides a brief written report to DON/Administrator of any chart reviews for documentation and assessments, family or resident issues, employee issues, medication observations, any LTC issues. Responds promptly to requests from the Director of Nursing/Administrator within the requested time frame. Implements changes as expeditiously as possible, and monitors staff to ensure that the changes are being properly implemented. 3. Demonstrates Knowledge and Skills to Interpret and Communicate Federal and State Regulations Ensures confidentiality of all non-public information and meets any HIPAA requirements of all records and files. Ensures rules and regulations are applied and communicated to staff. Utilizes Policy and Procedure Manual effectively. Assist staff with interpretations of regulations when needed. Anticipates critical events related to workload and makes prior provisions to deal with them. Keeps DON/Administrator informed of critical events and/or negative outcomes. Supports and maintains a culture of safety and quality of care that complies with State and Federal regulations. Keeps up to date on regulations, policies and procedures and assist in communication to other staff members. Promotes Quality Assessment Performance Improvement and participates in performance improvement projects when requested. SUPERVISION AND LEADERSHIP: Maintains an excellent working relationship with other department supervisors and nursing services to assure the daily services can be performed without interruption. Create and maintain an atmosphere of warmth, personal interest and positive emphasis, as well as a calm environment throughout the facility. EDUCATION AND EXPERIENCE: Must be a licensed nurse in the State of Tennessee with experience in geriatric nursing Knowledge and training in all aspects of the MDS, RAI and CAAs process Knowledge and training in all aspects of computer software Preparation, training and skills in management and supervision Thorough understanding of the principles of safe effective nursing practices Must be knowledgeable in regulatory expectations of geriatric nursing Must be knowledgeable in LTC reimbursement CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED TO PERFORM THE ESSENTIAL FUNCTIONS OF THIS JOB: Licensed nurse in the State of Tennessee, CPR Certification SKILLS: Minimum of two (2) years experience in medical/surgical, rehabilitation nursing. Must be well motivated, organized and able to prioritize multiple tasks. Must be able to interact effectively with a wide variety of people. Excellent communication skills. Able to serve as an example to other employees. WORKING CONDITIONS: Works in clean, well-lighted, heated and air conditioned area. Exposure to unpleasant sights, smells and infectious diseases possible. Work schedule is 40 hours every week. May need to work overtime as need arises. Holiday and weekend work at times. PHYSICAL DEMANDS: Lift up to 10 lbs - 33-67% of the time Lift 11-24 lbs - 33=67% of the time Lift 25-34 lbs - 33-67% of the time Lift 35-50 lbs - Up to 33% of the time Lift 51-74 lbs - Up to 33% of the time Lift 75-100 lbs - 33-67% of the time Lift above 100 lbs - Over 67% of the time Standing - Up to 33% of the time Walking - 33-67% of the time Sitting - Up to 33% of the time Uses hands to handle, feel - 33-67% of the time Reach with arms and hands - 33-67% of the time Climb or balance - None Stoop, kneel, crouch, bend - 33-67% of the time Talk or hear - 33-67% of the time Taste or smell - Up to 33% of the time Any lifting of 35lbs or more requires the use of an assistive device and/or physical assistance. EXPOSURE CATEGORY: Tasks involve exposure to blood, body fluids or tissues. This includes all procedures or job related tasks that involve inherent potential for mucous membrane or skin contact with blood, body fluids or tissues, or potential spills or splashes of them.
TITLE: DEPARTMENT: SUPERVISOR: Certified Nursing Technician Nursing Director of Nursing POSITION GOAL: The CNT provides direct patient care including assisting in activities of daily living, bathing, dressing, and feeding of patients, assists the RN / LPN, and reports all changes in the resident's condition to the Charge Nurse. ENVIRONMENT: Humphreys County Nursing Home provides multiple levels of care and services to its residents, through a continuing care plan, in an attractive surrounding while offering an array of personal services and activities. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: 1. Demonstrates Appropriate Knowledge and skills to Coordinate and Organize assigned work Maintains and arranges residents room in a clean and orderly fashion as required • Demonstrates competence in care of specimens and accurately handles specimens at all times. Notifies appropriate staff when resident complains of pain 100% of the time. Complies with policy changes expeditiously and reports any problems 100% of the time. Adapts procedures to meet adult and geriatric residents' needs 100% of the time. Assists in keeping residents dry (i.e. changes gown, clothing, linen when bed becomes wet or soiled. Ensures confidentiality of all non-public information and meets any HIPPA requirements. Accurately completes baths, oral hygiene, nail care, foot care, skin care, pressure relief device, feeding and transferring. Carries out medical asepsis during treatments / procedures 100 % of time. Checks all equipment / instruments needed, prior to each procedure, to ensure proper functioning. Maintains correct and professional communications with the public, residents, employees and other agencies, reflecting the mission of the facility. Uses correct technique when lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, and lifts according to facility expectations. Checks each resident at least every two hours or more as requested by the Charge Nurse, to ensure that his / her personal care needs are being met and respond to resident calls, as requested by a resident. Assists residents with bowel and bladder functions. 2. Demonstrates Appropriate Knowledge and skills to Function as a Certified Nurse Aide • Takes accurate Vital Signs 100% of time as instructed and records in Vital Stats section of LTC. Records activities of Daily Living correctly 100% of time in LTC. Positions residents in bed with proper alignment. • Maintains resident's dignity (i.e. knocks on door prior to entry of room, uses privacy curtains for bathing and doing procedure 100% of time. Documents and reports all non-functioning equipment and unsafe conditions, immediate to supervisor 100% of the time Anticipates the needs of assigned residents i.e. clean water, clean linens, bathroom needs, and ambulation. Keeps supervisor informed of critical events and/or situations of possible negative outcomes. Performs all procedures according to approved facility policy and procedures. Keeps current on skills and knowledge of assigned areas of responsibilities. Monitors Bowel Movements of each assigned resident each day of work 100% of time and records in LTC accurately and timely 100%. Assist with new resident admissions correctly and timely 100% of the time. Responses to the physical, mental, social and emotional needs of terminally residents and their families. Observes and reports to the Charge Nurse the presence of pressure areas and skin breakdowns to prevent decubitus ulcers. Interacts with co-workers, physicians, residents and all other customers in a manner which encourages harmonious working relationships, enhances the image and reputation of the facility and promotes positive customer relations. Supports the facility's mission statement by dependability in attendance, punctuality, maintaining confidentiality, the timely completion of assignments, and attention to principles of professional ethics and quality service. Has a commitment to professional and personal growth through development of skills and knowledge, as well as improvement in the facility's performance. • Ensures the rights, d i gnity and confidentiality of all residents is maintained. 3. Demonstrates an Understanding of the Federal and State Regulations Can answer questions correctly when asked concerning expectations of Nurse Aide. Supports cultural practices so long as it does not harm others. Determines critical and non-critical aspects of a situation accurately. Recognizes when to consult with the supervisor for assistance. Reports all accidents and incidents observed on the shift that they occur 100 % of time. Treats residents and their families with respect, dignity and compassion. • Assists with emergency situations when needed. Completes the annual skills inventory checklist successfully each year. • All other duties as assigned by the Director of Nursing. SUPERVISION & LEADERSHIP: Receives guidance with respect to general objectives in the majority of tasks and projects assigned, determine methods, work sequence, and how to achieve objectives of assignments; operates within specific policy guidelines. EDUCATION & EXPERIENCE: Prefer six months previous experience Knowledge and experience in the areas of geriatric nursing or related health programs. Ability to work effectively with health care providers, families, and other professionals as necessary. CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED TO PERFORM THE ESSENTIAL FUNCTIONS OF THIS JOB: Certified Nursing Technician SKILLS REQUIRED TO SUCCESSFULLY ACCOMPLISH THE ESSENTIAL FUNCTIONS OF THIS JOB: LANGUAGE SKILLS: Ability to read and comprehend simple instructions, and short correspondence. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to residents, and other employees. MATHEMATICAL SKILLS: Ability to add, and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume and distance. Ability to calculate meal percentages. REASONING ABILITY: Ability to apply sound clinical judgment to carry out effective resident care. Understands simple oral or written instructions. Ability to prioritize and concurrently manage multiple tasks. Ability to identify hazards, make reports and/or implement corrective actions. Ability to respond in a calm, professional demeanor. Ability to work in stressful situations or environment. COMPUTER OPERATIONS: Must have some computer skills PHYSICAL DEMANDS: AMOUNT OF TIME UP TO 33% 33-67% NONE OVER 67 % Stand Walk Sit Use hands to handle, feel Reach wl arms and hands Climb or balance Stoop, kneel, crouch, and bend Talk or hear Taste or smell WEIGHT LIFTED / FORCE EXERTED AMOUNT OF TIME UP TO 33% 33-67% NONE OVER 67% Up to 10 pounds Up to 25 pounds Up to 50 pounds Up to 100 pounds M ore than 100 pounds Any lifting of 35lbs or more requires the use of an assistive device and / or physical assistance. EXPOSURE CATEGORY 1. Tasks that involve exposure to blood, body fluids or tissues. This includes all procedures or job related tasks that involve inherent potential for mucous membrane or skin contact with blood, body fluids or tissues, or potential spills or splashes of them. 2. Tasks that do not involve exposure to blood, body fluids or tissue, but exposure may be required as a condition of employment. Appropriate protective measures are readily available to these employees when needed. 3. Tasks that involve NO exposure to blood, body fluids or tissue and Category 1 tasks are not a condition of employment.
TITLE: Certified Nursing Technician DEPARTMENT: Nursing SUPERVISOR: Director of Nursing POSITION GOAL: The CNA provides direct patient care including assisting in activities of daily living, bathing, dressing, and feeding of patients, assists the RN / LPN, and reports all changes in the resident's condition to the Charge Nurse. ENVIRONMENT: Humphreys County Nursing Home provides multiple levels of care and services to its residents, through a continuing care plan, in an attractive surrounding while offering an array of personal services and activities. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: 1. Demonstrates Appropriate Knowledge and skills to Coordinate and Organize assigned work Maintains and arranges residents room in a clean and orderly fashion as required • Demonstrates competence in care of specimens and accurately handles specimens at all times. Notifies appropriate staff when resident complains of pain 100% of the time. Complies with policy changes expeditiously and reports any problems 100% of the time. Adapts procedures to meet adult and geriatric residents' needs 100% of the time. Assists in keeping residents dry (i.e. changes gown, clothing, linen when bed becomes wet or soiled. Ensures confidentiality of all non-public information and meets any HIPPA requirements. Accurately completes baths, oral hygiene, nail care, foot care, skin care, pressure relief device, feeding and transferring. Carries out medical asepsis during treatments / procedures 100 % of time. Checks all equipment / instruments needed, prior to each procedure, to ensure proper functioning. Maintains correct and professional communications with the public, residents, employees and other agencies, reflecting the mission of the facility. Uses correct technique when lifting, turning, moving, positioning, and transporting residents into and out of beds, chairs, bathtubs, wheelchairs, and lifts according to facility expectations. Checks each resident at least every two hours or more as requested by the Charge Nurse, to ensure that his / her personal care needs are being met and respond to resident calls, as requested by a resident. Assists residents with bowel and bladder functions. 2. Demonstrates Appropriate Knowledge and skills to Function as a Certified Nurse Aide • Takes accurate Vital Signs 100% of time as instructed and records in Vital Stats section of LTC. Records activities of Daily Living correctly 100% of time in LTC. Positions residents in bed with proper alignment. • Maintains resident's dignity (i.e. knocks on door prior to entry of room, uses privacy curtains for bathing and doing procedure 100% of time. Documents and reports all non-functioning equipment and unsafe conditions, immediate to supervisor 100% of the time Anticipates the needs of assigned residents i.e. clean water, clean linens, bathroom needs, and ambulation. Keeps supervisor informed of critical events and/or situations of possible negative outcomes. Performs all procedures according to approved facility policy and procedures. Keeps current on skills and knowledge of assigned areas of responsibilities. Monitors Bowel Movements of each assigned resident each day of work 100% of time and records in LTC accurately and timely 100%. Assist with new resident admissions correctly and timely 100% of the time. Responses to the physical, mental, social and emotional needs of terminally residents and their families. Observes and reports to the Charge Nurse the presence of pressure areas and skin breakdowns to prevent decubitus ulcers. Interacts with co-workers, physicians, residents and all other customers in a manner which encourages harmonious working relationships, enhances the image and reputation of the facility and promotes positive customer relations. Supports the facility's mission statement by dependability in attendance, punctuality, maintaining confidentiality, the timely completion of assignments, and attention to principles of professional ethics and quality service. Has a commitment to professional and personal growth through development of skills and knowledge, as well as improvement in the facility's performance. • Ensures the rights, d i gnity and confidentiality of all residents is maintained. 3. Demonstrates an Understanding of the Federal and State Regulations Can answer questions correctly when asked concerning expectations of Nurse Aide. Supports cultural practices so long as it does not harm others. Determines critical and non-critical aspects of a situation accurately. Recognizes when to consult with the supervisor for assistance. Reports all accidents and incidents observed on the shift that they occur 100 % of time. Treats residents and their families with respect, dignity and compassion. • Assists with emergency situations when needed. Completes the annual skills inventory checklist successfully each year. • All other duties as assigned by the Director of Nursing. SUPERVISION & LEADERSHIP: Receives guidance with respect to general objectives in the majority of tasks and projects assigned, determine methods, work sequence, and how to achieve objectives of assignments; operates within specific policy guidelines. EDUCATION & EXPERIENCE: Prefer six months previous experience Knowledge and experience in the areas of geriatric nursing or related health programs. Ability to work effectively with health care providers, families, and other professionals as necessary. CERTIFICATIONS, LICENSES, REGISTRATIONS REQUIRED TO PERFORM THE ESSENTIAL FUNCTIONS OF THIS JOB: Certified Nursing Technician SKILLS REQUIRED TO SUCCESSFULLY ACCOMPLISH THE ESSENTIAL FUNCTIONS OF THIS JOB: LANGUAGE SKILLS: Ability to read and comprehend simple instructions, and short correspondence. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to residents, and other employees. MATHEMATICAL SKILLS: Ability to add, and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume and distance. Ability to calculate meal percentages. REASONING ABILITY: Ability to apply sound clinical judgment to carry out effective resident care. Understands simple oral or written instructions. Ability to prioritize and concurrently manage multiple tasks. Ability to identify hazards, make reports and/or implement corrective actions. Ability to respond in a calm, professional demeanor. Ability to work in stressful situations or environment. COMPUTER OPERATIONS: Must have some computer skills PHYSICAL DEMANDS: AMOUNT OF TIME UP TO 33% 33-67% NONE OVER 67 % Stand Walk Sit Use hands to handle, feel Reach wl arms and hands Climb or balance Stoop, kneel, crouch, and bend Talk or hear Taste or smell WEIGHT LIFTED / FORCE EXERTED AMOUNT OF TIME UP TO 33% 33-67% NONE OVER 67% Up to 10 pounds Up to 25 pounds Up to 50 pounds Up to 100 pounds M ore than 100 pounds Any lifting of 35lbs or more requires the use of an assistive device and / or physical assistance. EXPOSURE CATEGORY 1. Tasks that involve exposure to blood, body fluids or tissues. This includes all procedures or job related tasks that involve inherent potential for mucous membrane or skin contact with blood, body fluids or tissues, or potential spills or splashes of them. 2. Tasks that do not involve exposure to blood, body fluids or tissue, but exposure may be required as a condition of employment. Appropriate protective measures are readily available to these employees when needed. 3. Tasks that involve NO exposure to blood, body fluids or tissue and Category 1 tasks are not a condition of employment. Humphreys County Care and Rehab is dedicated to providing the best possible care of the sick and elderly. We will comply in every respect with Title VI of the Civil Rights Act of 1964 and section 504 of the Rehabilitation Act of 1973 and the Age Discrimination Act of 1975. Humphreys County Care and Rehab will not discriminate on the basis of race, color, age, handicap, religion or national origin in any activity carried on by the facility affecting the care and treatment of the patients or in the hiring of staff to provide services. Humphreys County Care and Rehab will not discriminate toward any applicant for admission or employment regardless of source of payment. Humphreys County Care and Rehab is an Equal Opportunity Employer. We adhere to all regulations pertaining to the Americans with Disability Act.
JOB SUMMARY: Responsible for resident care and assessment within the training and scope of service for the residents directly assigned within the unit working; and coordinates care and treatment of each resident to provide resident centered care. Follows established policies and procedures of the facility and standards of practice associated with one's state license; provides residents with quality care; checks rooms routinely to insure residents are provided the care expected and ordered; ensures unit is adequately supplied and organized for efficient and effective resident care; provides resident and family education and information regarding their care and treatment. Additionally, performs general nursing duties in all areas of the facility with adequate supervision; participates in Quality Assessment Performance Improvement plan of the organization; demonstrates the knowledge and skills necessary to provide care appropriate to the age of the residents served; must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the resident's status and interpret the appropriate information needed to identify each resident's requirements relative to his or her age-specific needs, and provide the care needed as described in the facility policies and procedures. WORKING CONDITIONS: W orks in well-lighted, well-ventilated rooms and halls. Sits, stands, bends, stoops and walks intermittently during the work day. May adjust and move residents and equipment. Subject to burns from equipment falls, bruises, scratches, etc., from residents and may be exposed to infections and odors. Must handle emergencies, give emergency care and give emergency instructions and deal with public, visitors, and residents tact fully. ESSENTIAL FUNCTIONS AND DUTIES: 1. Conducts chart reviews to check staff's work and documentation for accuracy and completeness. Discuss incomplete work with staff upon finding work not done. If incomplete work continues after discussions of incomplete work of more than 3 different occasions, then communicate with DON. 2. Make daily rounds on residents. Observations to include: Follow-up with family issues, Medication Administration issues, Physician visits / outstanding orders, etc. 3. Prepares and administers medications, as ordered by the Physician. 4. Utilizes LTC consistently and accurately and serves as a resource person for staff 5. Ensures an admission note is written on all new admissions - Ensures care plan and care guide are established in LTC 6. Assist with entering Physician Orders in LTC. 7. Ensures clinical staff completes orientation materials and required education and training expected by Facility policies and procedures. 8. Works with staff to ensure Call Lights are answered within 5 minutes. 9. Assist with feeding residents in dining room or resident room. 10. Ensures daily skill notes are completed correctly and quarterly assessments timely 11. Assist in Care Plan meetings when ask. 12. Administer professional services such as; catheterization, tube feedings, suction, applying and changing dressings / bandages, packs, colostomy and drainage bags, taking blood, and care POST Mortem & Palliative care, as required. 13. Review resident care plans for appropriate resident goals, problems, approaches and revisions based on nursing needs. 14. Handles all problems and employees in a professional, consistent and fair manner. 15. Maintains correct and professional communications with the public, residents, employees and other agencies, reflecting the mission of Quality Rehab and Health Care. 16.Ensures adequate staffing is available. 17. Ensures Incidents or medication error reports are completed before end of shift correctly with all information on checklist. Completes the section of investigation. 18. Reviews 24 hours Nursing Report for accuracy and completeness: a. New orders b. Changes in resident conditions C. Behavior changes d. New Admissions & Discharges e. Suspected or confirmed Infections 19. Charts notes in LTC in an informative and descriptive manner that reflects the care provided to the resident, as well as the resident's response to care. 20. Take and records TPR's and blood pressures, as necessary and records in LTC. 21. Ensures that assigned work areas are maintained in a clean, safe and sanitary manner. Monitors CNA's to ensure that they practice Universal Precautions and safety regulations in the use of equipment and supplies. 22. Interacts with co-workers, physicians, residents and all other customers in a manner which encourages harmonious working relationships, enhances the image and reputation of the facility and promotes positive customer relations 23. Transcribes physician orders in a timely and accurate manner, and in accordance with Woodcrest policies and procedures 24. Provides a brief written report to DON of any chart reviews for documentation and assessments, family or resident issues, employee issues, medication observations, any LTC issues, and etc. at end of each shift worked. 25. Make periodic checks to ensure that prescribed treatments are being properly administered by certified nursing assistants and to evaluate the resident's physical and emotional status. 26. Supports the facility and nursing's mission statement by dependability in attendance, punctuality, maintaining confidentiality, the timely completion of assignments, and attention to principles of professional ethics and person-centered care. 27. Ensures the rights, d i gnity and confidentiality of all residents is maintained. 28. Responses promptly to requests from the Director of Nursing within the requested timeframe 29. Implements changes as expeditiously as possible, and monitors staff to ensure that the changes are being properly implemented 30. Has a commitment to professional and personal growth through development of skills and knowledge, as well as improvement in the facility's performance. 31. Ensures confidentiality of all non-public information and meets any HIPA A requirements of all records and files 32. Ensures rules and regulations are applied and communicated to staff 33. Utilizes Policy and Procedure Manual effectively 34. Assist staff with interpretations of regulations when needed 35. Anticipates critical events related to workload and makes prior provisions to deal with them 36. Keeps DON informed of critical events and/or negative outcomes 37. Supports and maintains a culture of safety and quality of care that complies with State and Federal Regulations 38. Keeps up to date on regulations, policies and procedures and assist in communication to other staff members 39. Promotes Quality Assessment and Performance Improvement and Participates in Performance improvement projects when requested. 40. Disposes of drugs and narcotics as required and in accordance with established procedures; ensure the narcotic records are accurate for your shift. 41. Under the direction of the Director of Nursing, directs the day-to-day functions of the nursing assistants in accordance with current regulations and policies of the facility. 42. Review NP progress notes and / or consultant providers for recommendations to resident's care. Process recommendations into orders if necessary. 43.7pm -7 am Charge Nurse will review all New Orders written that day and correct any errors. Once processed print off list of orders reviewed and attached to 24 hour Report. 44. Completes required ICF documentation per policy. Any changes in behaviors or physical condition would be expected to be charted. 45. Maintains inventory of resident drugs and medication on unit. 46. On-coming and out-going nurse reports are timely and thorough. 47 . Arranges resident's appointments and transportation timely and appropriate. 48. Makes assignments timely at the beginning of each shift. 49. Maintains appropriate noise level in the facility 100% of time. 50. Notifies physician and DON of any resident's leaving AMA. 51. Report any repairs needed to Maintenance Department timely 100% of time. Humphreys County Care and Rehab is dedicated to providing the best possible care of the sick and elderly. We will comply in every respect with TItle VI of the Civil Rights Act of 1964 and section 504 of the Rehabilitation Act of 1973 and the Age Discrimination Act of 1975. Humphreys County Care and Rehab will not discriminate on the basis of race, color, age, handicap, religion or national origin in any activity carried on by the facility affecting the care and treatment of the patients or in the hiring of staff to provide services. Humphreys County Care and Rehab will not discriminate toward any applicant for admission or employment regardless of source of payment. Humphreys County Care and Rehab is an Equal Opporunity Employer. We adhere to all regulations pertaining to the Americans with Disability Act.