Inspection Results » Windsor Chico Creek Care and Rehab Center

  1. Health Inspection on September 4, 2018 [1]

    1. Isolated: Immediate jeopardy to the resident health or safety
      • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-12-19)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-12-19)
      • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (Corrected 2018-12-19)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-12-19)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-12-19)
      • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-12-19)
      • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-12-19)
      • 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 2019-01-10)
      • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2018-12-19)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-12-19)
      • 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 2018-12-19)
      • Provide and implement an infection prevention and control program. (Corrected 2018-12-19)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-19)
      • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Corrected 2018-12-19)
      • Assess the resident when there is a significant change in condition (Corrected 2018-12-19)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html