Inspection Results » Swansea Rehab Health Care

Health Inspection on November 2, 2018 ^[1]

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

   • Provide and implement an infection prevention and control program. (Corrected 2018-11-10)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-11-10)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-11-10)

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

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-10)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-11-10)
   • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Corrected 2018-11-10)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-11-10)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-11-10)

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

   • 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 2018-11-10)
   • 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 2018-11-10)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-11-10)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-11-10)
   • 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 2018-11-10)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-11-10)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-11-10)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-11-10)
   • 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 2018-11-10)