Inspection Results » Life Care Center of the Willows

  1. Health Inspection on March 1, 2019 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-03-31)
    2. Isolated: No actual harm with potential for more than minimal 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 2019-03-31)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-04-05)
      • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2019-03-31)
      • Provide and implement an infection prevention and control program. (Corrected 2019-03-31)
      • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2019-03-31)
      • 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 2019-03-31)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-03-31)
      • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2019-03-31)
      • 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 2019-03-31)
      • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2019-04-05)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-03-31)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-03-31)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-03-31)
      • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-03-31)
      • Ensure each resident receives an accurate assessment. (Corrected 2019-03-31)
      • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2019-03-31)

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