Inspection Results » Arcadia Health Care Center

Health Inspection on January 11, 2019 ^[1]

1. Pattern: 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 and develop corrective plans of action. (Corrected 2019-02-19)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-02-19)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-02-19)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-02-19)

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

   • Implement a program that monitors antibiotic use. (Corrected 2019-02-19)
   • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Corrected 2019-02-19)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-02-19)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-02-19)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-02-19)
   • 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 2019-02-19)
   • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2019-02-19)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-19)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-02-19)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-02-19)
   • Provide activities to meet all resident's needs. (Corrected 2019-02-19)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-02-19)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-19)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2019-02-19)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-19)
   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2019-02-19)

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

   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2019-02-19)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-02-19)