Inspection Results » Thousand Oaks Healthcare Center

  1. Health Inspection on December 26, 2018 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-02-07)
    2. Pattern: 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 2019-02-07)
      • Provide and implement an infection prevention and control program. (Corrected 2019-02-07)
      • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Corrected 2019-02-07)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-02-07)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-02-07)
      • Provide activities to meet all resident's needs. (Corrected 2019-02-07)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-07)
      • 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 2019-02-07)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-02-07)
      • 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 2019-02-07)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-02-07)
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-02-07)
      • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2019-02-07)
      • Ensure each resident receives an accurate assessment. (Corrected 2019-02-07)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-07)
      • Keep all essential equipment working safely. (Corrected 2019-02-07)

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