Inspection Results » All Saints Healthcare Subacute

  1. Health Inspection on August 10, 2018 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-09-03)
      • 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 2018-09-03)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-09-03)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-09-03)
      • 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 2018-09-03)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-09-03)
      • Provide and implement an infection prevention and control program. (Corrected 2018-09-03)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-09-03)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-03)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2018-09-03)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-09-03)
      • Provide appropriate foot care. (Corrected 2018-09-03)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-09-03)

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