Inspection Results » Bridgepoint Sub-Acute and Rehab Capitol Hill

  1. Health Inspection on June 26, 2018 [1]

    1. 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 2018-09-15)
      • Provide and implement an infection prevention and control program. (Corrected 2018-09-15)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-09-15)
      • Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. (Corrected 2018-09-15)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-09-15)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-09-15)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-09-15)
      • 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 2018-09-15)
      • 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 2018-09-15)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-09-15)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-09-15)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-09-15)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-09-15)
      • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2018-09-15)
      • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-09-15)
      • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-09-15)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-15)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-09-15)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-09-15)
      • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2018-09-15)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-09-15)
      • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-09-15)
      • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-09-15)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-09-15)

  2. Health Inspection on June 20, 2018 [1]

    1. Isolated: Actual harm that is not immediate jeopardy
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-15)

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