Inspection Results » Midtown Post Acute and Rehabilitation - a Waters C

Health Inspection on August 24, 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 2018-09-17)

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

   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-09-17)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-17)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-09-17)
   • 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 2018-09-17)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-09-17)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-09-17)
   • 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 2018-09-17)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-09-17)

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

   • 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 2018-09-17)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-09-17)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-09-17)
   • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Corrected 2018-09-17)
   • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Corrected 2018-09-17)
   • Provide appropriate foot care. (Corrected 2018-09-17)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-09-17)

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

   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-08-24)

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 2018-08-24)