Inspection Results » The Pavilion at Sunny Hills

  1. Health Inspection on January 24, 2019 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Keep all essential equipment working safely. (Corrected 2019-02-21)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-21)
      • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2019-02-21)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-02-21)
      • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2019-02-21)
      • Provide or obtain dental services for each resident. (Corrected 2019-02-21)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-02-21)
      • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2019-02-21)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-02-21)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-02-21)
      • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2019-02-21)
      • Provide and implement an infection prevention and control program. (Corrected 2019-02-21)
      • 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 2019-02-21)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-02-21)
    3. Pattern: No actual harm with potential for minimal harm
      • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2019-02-21)

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