Inspection Results » St Johns Pleasant Valley Hospital Distinct Part Skilled Nursing Facility

Health Inspection on May 3, 2018 ^[1]

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

   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-05-26)
   • Provide and implement an infection prevention and control program. (Corrected 2018-05-26)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-05-26)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-05-26)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-05-26)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-05-26)

2. Isolated: 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 2018-05-26)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-05-26)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-05-26)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-05-26)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-05-26)
   • 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 2018-05-26)
   • Provide routine and 24-hour emergency dental care for each resident. (Corrected 2018-05-26)