Inspection Results » Waters of Clifty Falls, The

Health Inspection on December 18, 2018 ^[1]

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

   • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2019-01-17)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2019-01-17)
   • Implement a program that monitors antibiotic use. (Corrected 2019-01-17)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-01-17)

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

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-01-17)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-01-17)
   • Provide and implement an infection prevention and control program. (Corrected 2019-01-17)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-01-17)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2019-01-17)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-01-17)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-01-17)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-01-17)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-01-17)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-01-17)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-01-17)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-01-17)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2019-01-17)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-01-17)