Inspection Results » Transitions Healthcare Capitol City

Health Inspection on December 14, 2018 ^[1]

1. Widespread: Immediate jeopardy to the resident health or safety

   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2019-02-14)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-14)

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

   • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2019-02-14)
   • Respond appropriately to all alleged violations. (Corrected 2019-02-14)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2019-02-14)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-02-14)
   • Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. (Corrected 2019-02-14)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2019-02-14)
   • Keep all essential equipment working safely. (Corrected 2019-02-14)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-02-14)

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

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-14)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-14)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-02-14)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2019-02-14)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2019-02-14)

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

   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-02-14)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-02-14)
   • Provide and implement an infection prevention and control program. (Corrected 2019-02-14)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2019-02-14)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-02-14)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2019-02-14)
   • 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 2019-02-14)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2019-02-14)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-02-14)