Inspection Results » Sapphire of Tucson Nursing and Rehab, LLC

Health Inspection on January 10, 2019 ^[1]

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

   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-04-05)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-04-05)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2019-04-05)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2019-04-05)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-04-05)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-04-05)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-04-05)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-04-05)
   • 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 2019-04-05)

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

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-04-05)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-04-05)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2019-04-05)
   • 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 2019-04-05)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-04-05)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-04-05)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-04-05)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-04-05)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2019-04-05)