Inspection Results » Gsnh Operator, LLC

Health Inspection on August 14, 2018 ^[1]

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

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-09-27)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-09-27)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-09-27)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-09-27)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-09-27)

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 2018-09-27)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-09-27)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-09-27)
   • Provide or obtain dental services for each resident. (Corrected 2018-09-27)
   • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (Corrected 2018-09-27)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-09-27)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-09-27)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-27)
   • Provide and implement an infection prevention and control program. (Corrected 2018-09-27)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-09-27)
   • 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 2018-09-27)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-09-27)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-09-27)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-09-27)
   • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-09-27)
   • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2018-09-27)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-09-27)

3. Pattern: No actual harm with potential for minimal harm

   • 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 2018-09-27)