Inspection Results » Manorcare Health Services-Hemet

Health Inspection on March 16, 2018 ^[1]

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-04-23)

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

   • 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 2018-04-23)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-04-23)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-04-23)
   • 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 2018-04-23)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-04-23)
   • Provide and implement an infection prevention and control program. (Corrected 2018-04-23)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-04-23)

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

   • Ensure each resident receives an accurate assessment. (Corrected 2018-04-23)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-04-23)
   • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2018-04-23)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-04-23)
   • 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 2018-04-23)
   • Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. (Corrected 2018-04-23)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-04-23)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-04-23)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-04-23)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-04-23)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-04-23)
   • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2018-04-23)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-04-23)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-04-23)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-04-23)
   • 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 2018-04-23)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-04-23)