Inspection Results » Cherrelyn Healthcare Center

Health Inspection on February 15, 2018 ^[1]

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

   • 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 2018-03-28)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-04-19)
   • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Corrected 2018-03-28)

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 2018-03-28)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-03-28)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-03-28)

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

   • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Corrected 2018-03-28)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-03-28)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-03-28)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-03-28)
   • Employ staff that are licensed, certified, or registered in accordance with state laws. (Corrected 2018-04-20)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-03-28)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-04-19)
   • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Corrected 2018-03-28)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-03-28)
   • 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 2018-03-28)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-03-28)
   • Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. (Corrected 2018-03-28)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-03-28)
   • 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 2018-03-28)
   • Provide doctor's orders for the resident's immediate care at the time the resident was admitted. (Corrected 2018-03-28)
   • Honor the resident's right to manage his or her financial affairs. (Corrected 2018-03-28)