Inspection Results » Kaweah Manor Convalescent Hospital

Health Inspection on November 29, 2018 ^[1]

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

   • Implement a program that monitors antibiotic use. (Corrected 2019-01-08)
   • Provide and implement an infection prevention and control program. (Corrected 2019-01-08)

2. Pattern: 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 2019-01-08)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-01-08)
   • 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 2019-01-08)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-01-08)
   • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2019-01-08)

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 2019-01-08)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-01-08)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-01-08)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-01-08)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2019-01-08)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-01-08)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-01-08)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-01-08)
   • Provide routine and 24-hour emergency dental care for each resident. (Corrected 2019-01-08)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2019-01-08)