Inspection Results » New Orange Hills

  1. Health Inspection on January 15, 2019 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-15)
      • Provide and implement an infection prevention and control program. (Corrected 2019-02-15)
      • Ensure each resident receives an accurate assessment. (Corrected 2019-02-15)
      • 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 2019-02-15)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-02-15)
      • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-02-15)
      • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Corrected 2019-02-15)
      • 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 2019-02-15)
      • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-02-15)
      • Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. (Corrected 2019-02-15)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-02-15)
      • 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 2019-02-15)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-02-15)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-02-15)
      • Ensure that residents are free from significant medication errors. (Corrected 2019-02-15)
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-02-15)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-02-15)
      • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-02-15)
      • Implement a program that monitors antibiotic use. (Corrected 2019-02-15)
      • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2019-02-15)
      • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Corrected 2019-02-15)
      • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-02-15)
      • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2019-02-15)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-15)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-02-15)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-02-15)
      • Provide activities to meet all resident's needs. (Corrected 2019-02-15)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-15)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-02-15)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-02-15)
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-02-15)
      • 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 2019-02-15)
    3. Widespread: No actual harm with potential for minimal harm
      • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-02-15)
    4. Pattern: No actual harm with potential for minimal harm
      • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2019-02-15)
      • Post nurse staffing information every day. (Corrected 2019-02-15)
      • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2019-02-15)

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