Administrative Manual

Administrative Policies
Mission Statement
Open Door Policy and Non-Discrimination Policy
Organizational Chart – Dyer
Policy Manual Approval
Disclosure of Ownership
Grievance Procedure (Section 504)
Policy on Policies updated 10/2015
Policy on Policies Form
Regulatory Investigations
Collection Referral
Collections Referral Procedures 2/16/2023

Governing Body – Management
Quality Assurance Committee Policy
Reasonable Accommodation of Employment Policy
Regional Ethics Consultants Protocol
Resident Communication Meeting Policy
Sexual Harassment Policy
Sexual Harassment Policy Chicago Facilities 7/1/2022
Staffing Policy
Weekend Manager Policy
Absenteeism and Tardiness Policy
Administrative Meeting Schedule Policy
Administrative Policy
Committee Minutes Policy
Conflicts of Interest Policy
Document and Record Retention Policy
Employee and Resident Non-Fraternization Policy
Employee Medical Record Keeping
Employment Policy
Employee Satisfaction Survey revised
Equal Employment and Affirmative Action Position
Ethical Education Policy
Ethics Committee Policy
Facility Closure
Facility Staffing Plan
Governing Body Guidelines 1/31/24
Management of Actual or Potential Liability Cliams Data Policy
Management of Staff Request to Reject an Assignment Policy
Orientation and Inservice Training Policy
Petty Cash Policy

Resident Rights Policies
Employee Obligation to Report Reasonable Suspicion of Crime against a Resident – Illinois

Resident Satisfaction Survey
Resident-Family Satisfaction Survey
Section 504 Notice of Program Accessibility
Advanced Directives
Informed Consent Policy
Procedures for Implementation of Resident Rights
Resident Personal Effects Policy
Resident Responsibilities
Resident Rights Statement
Therapeutic Work Policy
Ameslan
Communication with the Sensory-Speaking Impaired Policy
Family Council Policy
Family-Responsible Party Satisfaction Survey
Procedure for Communication with Persons of Limited English Proficiency
Registration and Disposition of Complaints Policy
Resident Council Policy
Resident Personal Trust Fund Policy and Procedure – 1/2017
Use and Storage of Food brought to Resident – 11/21/16

Admission and Discharge Policies
Notice of Transfer or Discharge Procedures
Organ Donation Request
Post Discharge Satisfaction Letter
Post Discharge Satisfaction Survey
Resident Identification Policy
Resident Name Preference Policy
Room Assignment Policy
Temporary Day Care Policy
Transfer Agreement
Transfer Discharge Policy
Transportation Policy
Admissions Policy revised 11/2016
Bed Hold/Bed Reserve  and Readmission Policy – Illinois

Coroner Notification
Discharge Against Medical Advice (AMA) updated 3/2019
Discharge by Death
Hospice Admission for Respite Care Policy
Hospice Services Policy
Involuntary Relocation Policy
Leave of Absence Policy
Level of Care Determination Policy

Physician and Dental Services Policies
Nurse Practitioner-Physician Assistant Services
Physician On-Call Policy-Procedure
Physician Services Policy
Admitting Medical History and Physical Documentation
Appendix to the Medical Practice Policy – Hearing and Appeal Procedure
Credentials Committee
Dental Services Policy
Medical Direction Policy
Medical Director Agreement
Medical Practice Policy and Rules and Regulations of the Medical Staff
Medical Staff By-Laws Summary

Comprehensive Assessment – Care Plan Policies
Weekly Interdisciplinary Team Meeting Policy
Comprehensive Assessment-MDS
Discharge Planning Policy
Resident Education Policy

Nursing Services Policies
Nursing Services Management Policy
Nursing Services Policy
Restorative Nursing Policy
Agency Certified Nursing Assistant Orientation Checklist 4/2021
Agency QMA Orientation Checklist
Cardiopulmonary Resuscitation
Comfort Care Measures Policy
Contract Nursing Policy
Emergency Nursing Staffing Policy
Guidelines for Resident Companions
Licensed Agency Nurse Orientation Checklist 4/2021
Licensed Nurse Orientation Checklist
Lab, Diagnostic Test Results and a Change in Resident’s Condition– Clinical Protocol
Abbreviations List Sept. 2018

Dietary Services Policies
Food Services Safety Precautions
Nutritional Risk Committee
Dietary Management Policy
Dietary Services Policy
Safety Policy

Social Services and Activities Policies
Social Services Policy
Spiritual Care Policy
Spiritual Screening-Religious Needs Survey good bad
Spirtual Screening – Relgious Needs Survey bad good
Spirtual Support Plan
Activities Policy
Depression Assessment Policy
Ethnic Cultural Diversity
Ethnic-Cultural Influences Form
Living Design Aviary
Out Of Facility Activity and Resident Participation
Pet Policy

Environmental Services Policies
Environment of Care Policy
Environmental Services
Housekeeping Services Policy
Laundry Services Policy
Maintenance Log Record
Maintenance Policy
Maintenance Requisition Policy and Procedure
Maintenance Schedules
Resident Equipment Maintenance Safety Policy
Pest Control Guidelines 11/1/2023

Pharmaceutical Services Policies
Medication Administration Policy
Medication Administration Schedule
Medication and Treatment Incident Reporting Policy
Medication Delivery Interruption Policy
Medication Labeling Policy
Medication Recall Policy
Medication Regimen Review Policy
Medication Treatment Administration Record Policy
MedWATCH Reporting Codes
Non-covered Medicaid Items Policy
Pharmaceutical Services Policy
Pharmaceuticals Storage Policy
Psychotropic Medications Policy
Record Keeping Policy MedWATCH Form 3500A
Record-Keeping Policy MedWATCH Form 3419
Refusal of Medications and Treatments
Release of Drug(s) Policy
Resident Statement of Treatment Refusal
Self Administration in Medication Storage Policy
Treatment Tray-Cart Policy
Adverse Drug Reaction Policy
Antipsychotic Drug Assessment and Monitoring Policy
Automatic Stop-Order Policy
Consultant Pharmacist Policy
Controlled Sustance Policy
Drug Destruction or Return of Discontinued Medication Policy
Drug Order Policy
Emergency Drug Kit Policy
Generic Drug Substitution Policy

Ancillary Service Policies
Respiratory Therapy Policy
Specialized Rehabilitative Services Policy
Beautician and Barber Services Policy
Diagnostic Services

Mental Health Services
Mental Health
Smoking Cessation Policy
Behavior Management Committee
Behavior Management
Developmentally Disabled

Medical Record Services Policies
Form Committee Policy
Release of Medical Record Information Policy
Continuation of Medical and Related Records for Readmitted Residents
Discharged Medical Record Policy
Facsimile Procedures for Medical Record Use
Clinical Record Content

Infection Control Policies
Hand Washing – Hand Hygiene
Infection Control Policy
Isolation Discontinuation
Management of Staff Request to Refuse Work Assignment – Infection Disease
Record Keeping-Employee Medical Records
Outbreak Investigation and Interventions Policy

Safety – Disaster Preparedness Policies
Safety Committee
Safety Policy
Sentinel Event Policy
Resident Smoking 10/2022
Sprinkler Systems Testing Policy
VIP-Special Guest Policy
VIP_Visitor with high level of security
Accident Incident And Unusual Occurrence Reporting
Accident-Incident Investigation Guidelines
Regulatory Investigations Policy
Area Hospitals-Medical Centers Disaster Notification Policy
Auxiliary Power for Life Support System Policy
Building Security Policy
Security Chain of Command Policy
Civil Disturbance Policy
Snow Ice Cold Weather Emergency
Disaster Dishware Supply Policy
Electrical Safety Precautions Policy
Elopment and Search Policy
Emergency Call-In Personnel Policy
Emergency Control of Utilities
Emergency Generator Test Policy
Emergency Meal Service Policy
Emergency Telephone Numbers Policy
Employee Accident-Incident Reporting
Evacuation Procedure
Extreme Weather Temperature Policy
Fire and Disaster Orientation Policy
Fire Procedure Plan
Fire procedure plan – All shifts (rev 1/2017)

Hazard Communication
Hazardous Chemicals Inventory Listing Policy
Hazardous Chemicals Purchasing Policy
Hazardous Chemical Receipt Policy
Hazardous Energy Control Program
Hazardous Materials Acknowledgment
Lockout-Tagout Case Example
Compliance Correspondence
Employees of Other Employers
Flame Retardant Materials Policy
Hazard Communication Standard Policy
Hazard Communication Program Policy
Hazard Communication Program QA
Hazard Personal Protection Equipment Program
Hazardous Chemical Inventory Listing – Sample Letter

Volunteer Program
Request for Volunteers – Form
Tips for Talking with Individuals Who Have Hearing Impairments
Tips for Visiting the Visually Impaired
Volunteer Application Form Policy
Volunteer Application Form
Volunteer Confidentiality Statement
Volunteer Consent Form Procedure
Volunteer Orientation and Rules of Conduct Form
Volunteer Orientation and Training Program
Volunteer Policies and Procedures
Volunteer Program Objectives
Volunteer Program Policy
Volunteer Services Questionnaire – Form
Confidentiality – Volunteers
Confidentiality Statement Form Procedure
Consent Form for Minor Volunteer
Don’ts For the Friendly Visitor
Do’s For the Friendly Visitor
Guidelines for Volunteers
Job Descriptions
Philosophy on Volunteers
Reminders – Volunteer Do’s
Volunteer Orientation and Training Program
Volunteer Policies and Procedures
Volunteer Program Objectives
Volunteer Program Policy
Volunteer Services Questionnaire – Form
Confidentiality – Volunteers
Confidentiality Statement Form Procedure
Consent Form for Minor Volunteer
Don’ts For the Friendly Visitor
Do’s For the Friendly Visitor
Guidelines for Volunteers
Job Descriptions
Philosophy on Volunteers
Reminders – Volunteer Do’s
Request for Volunteers – Form
Tips for Talking with Individuals Who Have Hearing Impairments
Tips for Visiting the Visually Impaired
Volunteer Application Form Policy
Volunteer Application Form
Volunteer Confidentiality Statement
Volunteer Consent Form Procedure
Volunteer Orientation and Rules of Conduct FormSafety Policy