Inspection Results » Yuba Skilled Nursing Center

Health Inspection on September 5, 2018 ^[1]

1. Widespread: Immediate jeopardy to the resident health or safety

   • Provide and implement an infection prevention and control program. (Corrected 2019-01-29)

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

   • Hire a qualified full-time social worker in a facility with more than 120 beds. (Corrected 2018-12-19)
   • Implement a program that monitors antibiotic use. (Corrected 2019-01-29)
   • Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. (Corrected 2018-12-19)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-12-19)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-01-29)
   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-12-19)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-12-19)
   • Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. (Corrected 2018-12-19)

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

   • 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 2018-12-19)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-12-19)
   • 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 2018-12-19)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-12-19)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-12-19)
   • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-12-19)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-12-19)
   • 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 2019-01-29)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-19)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-19)
   • 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 2019-01-29)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-01-29)

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

   • 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 2018-12-19)
   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2018-12-19)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-12-19)
   • Respond appropriately to all alleged violations. (Corrected 2019-01-29)
   • Provide routine and 24-hour emergency dental care for each resident. (Corrected 2018-12-19)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-01-29)