Resident Complaints » Orchard Hospital Distinct Part Skilled Nursing Facility

  1. Health Inspection on March 14, 2019 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-04-11)
  2. Health Inspection on November 6, 2018 [1]

    1. Pattern: Immediate jeopardy to the resident health or safety
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-04-17)
    2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. (Corrected 2019-01-31)
      • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2019-01-31)
      • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-04-17)
      • Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. (Corrected 2019-01-31)
      • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-04-17)
      • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2019-01-31)
      • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2019-04-17)
    3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2019-04-17)
      • Provide and implement an infection prevention and control program. (Corrected 2019-04-17)
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-04-17)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-17)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-04-24)
      • Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. (Corrected 2019-01-31)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-04-17)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-04-17)
    4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2019-01-31)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-01-31)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-01-31)
    5. Pattern: No actual harm with potential for minimal harm
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-01-31)

You may file a complaint with your state if you have a concern about the quality of care you or your family member gets from a nursing home and do not get a satisfactory resolution from your nursing home.

About Complaint Initiated Inspections How to File a Complaint


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html