Inspection Results » Chinle Nursing Home

Health Inspection on September 29, 2017 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. (Corrected 2018-03-15)
   • Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. (Corrected 2017-12-14)

2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. (Corrected 2018-03-15)

3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Let residents choose whether to manage their own money or deposit it with the nursing home. (Corrected 2017-12-14)
   • Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. (Corrected 2017-12-14)
   • Maintain comfortable and safe temperature levels. (Corrected 2017-12-14)
   • At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. (Corrected 2018-03-15)
   • Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . (Corrected 2018-03-15)
   • Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. (Corrected 2018-03-15)
   • Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. (Corrected 2017-12-02)
   • Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. (Corrected 2017-12-14)
   • Have a program that investigates, controls and keeps infection from spreading. (Corrected 2018-03-15)

4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Keep accurate, complete and organized clinical records on each resident that meet professional standards. (Corrected 2017-12-14)
   • Ensure each resident receives an accurate assessment by a qualified health professional. (Corrected 2017-12-14)
   • Provide necessary care and services to maintain or improve the highest well being of each resident . (Corrected 2017-12-02)
   • Try to resolve each resident's complaints quickly. (Corrected 2017-12-14)
   • 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. (Corrected 2017-12-14)
   • Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. (Corrected 2017-12-14)
   • Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-03-28)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-03-14)
   • Ensure that residents are safe from serious medication errors. (Corrected 2017-12-02)