Inspection Results » Aperion Care Tolleston Park

  1. Health Inspection on January 28, 2019 [1]

    1. 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 2019-03-08)
      • 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 2019-03-08)
      • Provide and implement an infection prevention and control program. (Corrected 2019-03-08)
      • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-03-08)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-03-08)
      • 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 2019-03-08)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-03-08)
      • 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 2019-03-08)
    2. Isolated: 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 2019-03-08)
      • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-03-08)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-03-08)
      • Ensure each resident receives an accurate assessment. (Corrected 2019-03-08)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-03-08)
      • 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 2019-03-08)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-03-08)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-03-08)
      • 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 2019-03-08)
      • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-03-08)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-03-08)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-03-08)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-03-08)
      • Protect each resident from the wrongful use of the resident's belongings or money. (Corrected 2019-03-08)
      • Assist a resident in gaining access to vision and hearing services. (Corrected 2019-03-08)
      • Provide activities to meet all resident's needs. (Corrected 2019-03-08)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-03-08)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-03-08)
      • Keep residents' personal and medical records private and confidential. (Corrected 2019-03-08)
      • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-03-08)
      • 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 2019-03-08)
      • Implement a program that monitors antibiotic use. (Corrected 2019-03-08)
    3. Widespread: No actual harm with potential for minimal harm
      • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2019-03-08)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html