Inspection Results » Castle Rock Care Center

Health Inspection on March 15, 2018 ^[1]

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

   • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Corrected 2018-04-18)

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

   • Provide and implement an infection prevention and control program. (Corrected 2018-04-18)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-04-18)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-04-18)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-04-18)

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

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-04-18)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-04-18)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-04-18)
   • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2018-04-18)
   • Provide routine and 24-hour emergency dental care for each resident. (Corrected 2018-04-18)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-04-18)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-04-18)
   • 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 2018-04-18)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-04-18)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-04-18)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-04-18)
   • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2018-04-18)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-04-18)

4. Widespread: No actual harm with potential for minimal harm

   • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2018-04-18)
   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-04-18)
   • Give residents a notice of rights, rules, services and charges. (Corrected 2018-04-18)
   • Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. (Corrected 2018-04-18)