Inspection Results » Pacific Post Acute

Health Inspection on October 13, 2018 ^[1]

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

   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-11-01)
   • 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 2018-11-01)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-11-01)

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

   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-11-01)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-11-01)
   • Provide and implement an infection prevention and control program. (Corrected 2018-11-01)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-01)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2018-11-01)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-11-01)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-11-01)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-11-01)
   • 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 2018-11-01)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-01)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-11-01)

3. 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)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-11-01)