Inspection Results » Windsor Gardens Convalescent Center of San Diego

  1. Health Inspection on October 4, 2018 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2018-11-17)
      • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-11-17)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide activities to meet all resident's needs. (Corrected 2018-11-17)
      • Implement a program that monitors antibiotic use. (Corrected 2018-11-17)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-17)
      • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-11-17)
      • Provide appropriate foot care. (Corrected 2018-11-17)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-11-17)
      • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-11-17)
      • 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 2018-11-17)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-11-17)
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-11-17)
      • Provide and implement an infection prevention and control program. (Corrected 2018-11-17)

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