Inspection Results » St Mary Healthcare Center

  1. Health Inspection on October 23, 2018 [1]

    1. Pattern: 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 2018-11-16)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-11-16)
      • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-11-16)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-11-16)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-16)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-11-16)
      • Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (Corrected 2018-11-16)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-11-16)
      • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-11-16)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-11-16)
      • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-11-16)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-11-16)
      • 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 2018-11-16)
      • Provide or obtain dental services for each resident. (Corrected 2018-11-16)
      • Implement a program that monitors antibiotic use. (Corrected 2018-11-16)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-11-16)
    3. Widespread: No actual harm with potential for minimal harm
      • Post nurse staffing information every day. (Corrected 2018-11-16)

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