Inspection Results » Nursing and Rehabilitation Center at Good Shepherd

Health Inspection on November 16, 2018 ^[1]

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-12-16)
   • Dispose of garbage and refuse properly. (Corrected 2018-12-16)

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

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-16)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-12-16)
   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2018-12-16)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-12-16)
   • Provide and implement an infection prevention and control program. (Corrected 2018-12-16)
   • 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 2018-12-16)

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

   • Ensure that residents are free from significant medication errors. (Corrected 2018-12-16)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-12-16)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-12-16)
   • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Corrected 2018-12-16)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-12-16)

4. Widespread: No actual harm with potential for minimal harm

   • 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 2018-11-16)

5. Pattern: No actual harm with potential for minimal harm

   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-11-16)