Inspection Results » Lake Mary Health and Rehabilitation Center

  1. Health Inspection on February 22, 2018 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2018-03-30)
      • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-03-30)
      • Provide and implement an infection prevention and control program. (Corrected 2018-03-30)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2018-03-30)
      • 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 2018-03-30)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-03-30)
      • Dispose of garbage and refuse properly. (Corrected 2018-03-30)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-03-30)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-03-30)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-03-30)

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