Inspection Results » Wildflower Court

  1. Health Inspection on February 9, 2018 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2018-03-26)
      • Provide and implement an infection prevention and control program. (Corrected 2018-03-26)
      • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-03-26)
      • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-03-26)
      • Implement a program that monitors antibiotic use. (Corrected 2018-03-26)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-03-26)
      • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-03-26)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-03-26)
      • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-03-26)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-03-26)
      • 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 2018-03-26)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide or get specialized rehabilitative services as required for a resident. (Corrected 2018-03-26)
      • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne (Corrected 2018-03-26)
      • Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (Corrected 2018-03-26)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-03-26)
      • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-03-26)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-03-26)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

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