Inspection Results » Terraces of Boise, The

Health Inspection on March 23, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-04-27)

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

   • Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (Corrected 2018-04-27)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-04-27)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-04-27)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-04-27)
   • Provide and implement an infection prevention and control program. (Corrected 2018-04-27)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-04-27)
   • 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 2018-04-27)
   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-04-27)
   • Provide information about how to apply for and use Medicare and Medicaid benefits. (Corrected 2018-04-27)
   • Respond appropriately to all alleged violations. (Corrected 2018-04-27)

3. Pattern: 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 2018-04-27)
   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2018-04-27)
   • 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 2018-04-27)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-04-27)

4. 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 2018-04-27)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-04-27)
   • 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 2018-04-27)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-04-27)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-04-27)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-04-27)