Inspection Results » Prestige Care & Rehabilitation - the Orchards

Health Inspection on August 10, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-09-20)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-09-20)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-09-20)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-09-20)

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

   • Give residents a notice of rights, rules, services and charges. (Corrected 2018-09-20)
   • Provide and implement an infection prevention and control program. (Corrected 2018-09-20)
   • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2018-09-20)

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

   • 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 2018-09-20)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-09-20)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-20)
   • 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 2018-09-20)

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

   • Keep residents' personal and medical records private and confidential. (Corrected 2018-09-20)
   • 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 2018-09-20)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-09-20)
   • 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 2018-09-20)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-09-20)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-09-20)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-09-20)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-09-20)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-09-20)