Inspection Results » Beachwood Post-Acute & Rehab

Health Inspection on August 10, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-10-04)

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

   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-10-04)
   • Provide and implement an infection prevention and control program. (Corrected 2018-10-24)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-10-04)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-10-04)
   • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Corrected 2018-10-04)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-10-04)

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

   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-10-24)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-10-04)
   • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2018-10-04)
   • 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 2018-10-04)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-10-04)
   • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Corrected 2018-10-24)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-10-04)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-10-04)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-10-04)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-04)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-10-24)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-10-24)
   • 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 2018-10-24)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-10-24)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-10-04)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-10-04)
   • 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 2018-10-24)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-10-04)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-10-04)