Inspection Results » Aperion Care Olney

Health Inspection on December 24, 2018 ^[1]

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

   • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Corrected 2019-01-31)
   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2019-01-31)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-01-31)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-01-31)

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

   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2019-01-31)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-01-31)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-01-31)
   • Ensure meals and snacks are served at times in accordance with residentÂ’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedu (Corrected 2019-01-31)
   • 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 2019-01-31)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-01-31)
   • Provide and implement an infection prevention and control program. (Corrected 2019-01-31)

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

   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-01-31)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-01-31)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-01-31)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2019-01-31)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-01-31)
   • 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 2019-01-31)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2019-01-31)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2019-01-31)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2019-01-31)
   • 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 2019-01-31)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2019-01-31)

4. Widespread: No actual harm with potential for minimal harm

   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2019-01-31)