Inspection Results » Coalinga Regional Medical Center Distinct Part/Skilled Nursing Facility

Health Inspection on September 8, 2017 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide necessary care and services to maintain or improve the highest well being of each resident . (Corrected 2017-11-01)
   • Keep each resident free from physical restraints, unless needed for medical treatment. (Corrected 2017-11-01)
   • Keep each resident free from drugs that restrain them, unless needed for medical treatment. (Corrected 2017-11-01)

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

   • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2017-11-01)
   • Have a program that investigates, controls and keeps infection from spreading. (Corrected 2017-11-01)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. (Corrected 2017-11-01)
   • Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. (Corrected 2017-11-01)
   • Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. (Corrected 2017-11-01)

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

   • Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. (Corrected 2017-11-01)
   • At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. (Corrected 2017-11-01)
   • Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. (Corrected 2017-11-01)
   • Store, cook, and serve food in a safe and clean way. (Corrected 2017-11-01)
   • Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. (Corrected 2017-11-01)

4. 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 2017-11-01)
   • Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. (Corrected 2017-11-01)
   • Allow residents to self-administer drugs if determined safe. (Corrected 2017-11-01)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2017-11-01)
   • Conduct initial and periodic assessments of each resident's functional capacity. (Corrected 2017-11-01)
   • Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. (Corrected 2017-11-01)
   • Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. (Corrected 2017-11-01)
   • Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. (Corrected 2017-11-01)
   • Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2017-11-01)
   • Ensure each resident receives an accurate assessment by a qualified health professional. (Corrected 2017-11-01)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2017-11-01)

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

   • Give residents a notice of rights, rules, services and charges. (Corrected 2017-11-01)
   • Allow residents to easily view the results of the nursing home's most recent inspection. (Corrected 2017-11-01)