Inspection Results » Alamitos West Health & Rehabilitation

  1. Health Inspection on November 8, 2018 [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 2018-12-17)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-12-17)
      • Assess the resident when there is a significant change in condition (Corrected 2018-12-17)
      • 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 2018-12-17)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-17)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-17)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-12-17)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-12-17)
      • 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 2018-12-17)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-12-17)
      • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-12-17)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-12-17)
      • Provide activities to meet all resident's needs. (Corrected 2018-12-17)
      • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Corrected 2018-12-17)
    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 2018-12-17)
      • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-12-17)

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