Inspection Results » New Orange Hills

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)