Inspection Results » Wrangell Medical Center Long Term Care

  1. Health Inspection on April 30, 2018 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-06-22)
      • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-06-22)
      • Provide and implement an infection prevention and control program. (Corrected 2018-06-22)
      • Implement a program that monitors antibiotic use. (Corrected 2018-06-22)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-06-22)
    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 2018-06-22)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-06-22)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-06-22)
      • Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (Corrected 2018-06-22)
      • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-06-22)
      • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-06-22)
      • Ensure a qualified health professional conducts resident assessments. (Corrected 2018-06-22)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-06-22)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-06-22)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-06-22)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-06-22)
      • 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 2018-06-22)
      • 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 2018-06-22)
      • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-06-22)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-06-22)
      • 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 2018-06-22)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-06-22)
    4. Widespread: No actual harm with potential for minimal harm
      • 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 2018-06-22)
      • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-06-22)

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