Inspection Results » San Rafael Healthcare & Wellness Center, Lp

  1. Health Inspection on January 18, 2019 [1]

    1. Isolated: Actual harm that is not immediate jeopardy
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-03-27)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected 2019-03-27)
      • Keep all essential equipment working safely. (Corrected 2019-03-27)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-03-27)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-03-27)
      • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2019-03-27)
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-03-27)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-03-27)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2019-03-27)
      • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Corrected 2019-03-27)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-03-27)
    4. Pattern: No actual harm with potential for minimal harm
      • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2019-03-27)

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