Inspection Results » Sandalwood Rehabilitation and Nursing Center

Health Inspection on March 28, 2019 ^[1]

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

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-05-09)
   • 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 2019-05-09)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-05-09)
   • 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 2019-05-09)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-05-09)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-05-09)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2019-05-09)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2019-05-09)
   • Provide and implement an infection prevention and control program. (Corrected 2019-05-09)
   • 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 2019-05-09)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2019-05-09)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-05-09)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-05-09)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-05-09)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-05-09)