Inspection Results » Westchester Health & Rehabilitation

Health Inspection on August 17, 2018 ^[1]

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

   • Have a policy regarding use and storage of foods brought to residents by family and other visitors. (Corrected 2018-09-18)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-09-18)

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

   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-09-18)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-09-18)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-09-18)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-09-18)
   • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Corrected 2018-09-18)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-09-18)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-09-18)
   • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-09-18)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-09-18)
   • 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 2018-09-18)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-09-18)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-09-18)
   • Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. (Corrected 2018-09-18)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-09-18)
   • 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 2018-09-18)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-09-18)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-09-18)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-18)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-09-18)
   • Provide and implement an infection prevention and control program. (Corrected 2018-09-18)

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-09-18)