Inspection Results » Palos Verdes Health Care Center

Health Inspection on March 26, 2019 ^[1]

1. Widespread: Immediate jeopardy to the resident health or safety

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-05-15)

2. Pattern: Immediate jeopardy to the resident health or safety

   • 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 2019-05-15)

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

   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2019-05-15)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-05-15)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-05-15)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-05-15)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-05-15)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-05-15)
   • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2019-05-15)
   • 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 2019-05-15)
   • Provide and implement an infection prevention and control program. (Corrected 2019-05-15)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-05-15)
   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2019-05-15)

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

   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-05-15)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-05-15)
   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2019-05-15)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2019-05-15)
   • Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. (Corrected 2019-05-15)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-05-15)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-05-15)

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

   • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Corrected 2019-05-15)
   • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected 2019-05-15)