Inspection Results » Santa Cruz Post Acute

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

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-03-21)
      • Ensure each resident receives an accurate assessment. (Corrected 2019-03-21)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-03-21)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-03-21)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-03-21)
      • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2019-03-21)
      • Dispose of garbage and refuse properly. (Corrected 2019-03-21)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-03-21)
      • Provide activities to meet all resident's needs. (Corrected 2019-03-21)
      • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-03-21)
      • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2019-03-21)
      • 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 2019-03-21)
      • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-03-21)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-03-21)
      • 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 2019-03-21)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-03-21)
      • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-03-21)
      • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2019-03-21)
      • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2019-03-21)

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