Inspection Results » Bethesda Health and Rehabilitation

Health Inspection on March 2, 2018 ^[1]

1. Pattern: 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 2018-04-16)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-04-16)
   • 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 2018-04-16)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-04-16)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-04-16)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-04-16)

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

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-04-16)
   • Respond appropriately to all alleged violations. (Corrected 2018-04-16)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-04-16)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-04-16)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-04-16)
   • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Corrected 2018-04-16)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-04-16)
   • Provide and implement an infection prevention and control program. (Corrected 2018-04-16)

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-04-16)

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

   • 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 2018-04-16)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-04-16)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-04-16)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-04-16)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-04-16)
   • 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 2018-04-16)