Inspection Results » Gateway Post Acute

Health Inspection on July 12, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-08-09)
   • Provide and implement an infection prevention and control program. (Corrected 2018-08-09)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-08-09)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-08-09)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Implement a program that monitors antibiotic use. (Corrected 2018-08-09)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-08-09)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-08-09)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-08-09)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-08-09)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-08-09)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-09)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-08-09)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-08-09)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-08-09)
   • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Corrected 2018-08-09)
   • Provide special eating equipment and utensils for residents who need them and appropriate assistance. (Corrected 2018-08-09)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-08-09)
   • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Corrected 2018-08-09)
   • Provide activities to meet all resident's needs. (Corrected 2018-08-09)

4. Pattern: No actual harm with potential for minimal harm

   • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected N/A)