Inspection Results » Dycora Transitional Health - Quail Lake

  1. Health Inspection on October 5, 2018 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-11-13)
      • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-11-13)
      • Ensure that residents are free from significant medication errors. (Corrected 2018-11-13)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-11-13)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-11-13)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-11-13)
      • Provide and implement an infection prevention and control program. (Corrected 2018-11-13)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-11-13)
      • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2018-11-13)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-11-13)
      • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-11-13)
      • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Corrected 2018-11-13)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-11-13)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-11-13)
      • Keep residents' personal and medical records private and confidential. (Corrected 2018-11-13)
      • Post nurse staffing information every day. (Corrected 2018-11-13)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-11-13)
      • 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 2018-11-13)

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