Inspection Results » River Haven Nursing and Rehabilitation Center

Health Inspection on April 20, 2018 ^[1]

1. Pattern: Immediate jeopardy to the resident health or safety

   • Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. (Corrected 2018-06-07)
   • Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. (Corrected 2018-06-07)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-06-07)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-06-07)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-06-07)

2. Isolated: Immediate jeopardy to the resident health or safety

   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-06-07)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-06-07)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-06-07)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-06-07)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-06-07)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-06-07)
   • 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 2018-06-07)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-06-07)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-06-07)
   • Keep complete, dated laboratory records in the resident's record. (Corrected 2018-06-07)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-06-07)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-06-07)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-06-07)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-06-07)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-06-07)

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

   • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-06-07)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-06-07)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2018-06-07)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-06-07)
   • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Corrected 2018-06-07)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2018-06-07)
   • Protect each resident from the wrongful use of the resident's belongings or money. (Corrected 2018-06-07)