Inspection Results » Cadia Rehabilitation Renaissance

  1. Health Inspection on September 6, 2018 [1]

    1. Isolated: Actual harm that is not immediate jeopardy
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-12-12)
      • 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 2018-12-12)
    2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-12-12)
    3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-12-12)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-12-12)
      • 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 2018-12-12)
    4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-12-12)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-12-12)
      • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Corrected 2018-12-12)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-12)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-12-12)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-12-12)
      • Provide routine and 24-hour emergency dental care for each resident. (Corrected 2018-12-12)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-12)
      • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2018-12-12)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-12-12)
      • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-12-12)
      • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-12-12)
      • Provide and implement an infection prevention and control program. (Corrected 2018-12-12)
      • Keep residents' personal and medical records private and confidential. (Corrected 2018-12-12)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-12-12)

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