Inspection Results » Encore Healthcare and Rehabilitation

Health Inspection on December 21, 2018 ^[1]

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

   • 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 2019-01-20)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-01-20)

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 2019-01-20)
   • Ensure that residents are free from significant medication errors. (Corrected 2019-01-20)
   • Assess the resident when there is a significant change in condition (Corrected 2019-01-20)
   • Provide and implement an infection prevention and control program. (Corrected 2019-01-20)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-01-20)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-01-20)

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

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-01-20)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2019-01-20)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-01-20)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-01-20)

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

   • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-12-21)

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

   • Ensure each resident receives an accurate assessment. (Corrected 2018-12-21)
   • 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 2018-12-21)