Inspection Results » Pinnacle Rehabilitation & Health Center

Health Inspection on November 20, 2018 ^[1]

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

   • Ensure each resident receives an accurate assessment. (Corrected 2018-12-21)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-12-21)
   • 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 2018-12-21)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-12-21)

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

   • Keep residents' personal and medical records private and confidential. (Corrected 2018-12-21)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-12-21)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-12-21)
   • 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 2018-12-21)
   • Implement a program that monitors antibiotic use. (Corrected 2018-12-21)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-12-21)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-12-21)
   • 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 2018-12-21)
   • Provide and implement an infection prevention and control program. (Corrected 2018-12-21)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-21)
   • Keep all essential equipment working safely. (Corrected 2018-12-21)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-12-21)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-21)
   • Provide or obtain dental services for each resident. (Corrected 2018-12-21)