Inspection Results » Signature Healthcare of Newburgh

Health Inspection on April 12, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-07-05)

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

   • Provide and implement an infection prevention and control program. (Corrected 2018-07-05)
   • Implement a program that monitors antibiotic use. (Corrected 2018-06-05)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-07-05)

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

   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-07-05)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-06-05)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-07-05)

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

   • Provide care by qualified persons according to each resident's written plan of care. (Corrected 2018-06-05)
   • Provide or obtain dental services for each resident. (Corrected 2018-06-05)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2018-06-05)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-07-05)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-07-05)
   • 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 2018-06-05)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-06-05)
   • 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 2018-06-05)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-06-05)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-06-05)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-07-05)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-06-05)
   • Provide activities to meet all resident's needs. (Corrected 2018-06-05)
   • Provide special eating equipment and utensils for residents who need them and appropriate assistance. (Corrected 2018-06-05)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-06-05)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-06-05)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-06-05)
   • 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 2018-07-05)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-06-05)

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

   • Post nurse staffing information every day. (Corrected 2018-06-05)