Inspection Results » Weston Senior Living Center at Highfield

Health Inspection on February 28, 2019 ^[1]

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

   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2019-04-17)
   • 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 2019-04-17)

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

   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-04-17)
   • Provide and implement an infection prevention and control program. (Corrected 2019-04-17)
   • Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. (Corrected 2019-04-17)

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

   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-04-17)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-04-17)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-17)
   • 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 2019-04-17)
   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2019-04-17)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-04-17)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-04-17)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-04-17)
   • Respond appropriately to all alleged violations. (Corrected 2019-04-17)
   • Provide routine and 24-hour emergency dental care for each resident. (Corrected 2019-04-17)