Inspection Results » Catonsville Commons

Health Inspection on December 21, 2018 ^[1]

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

   • Keep all essential equipment working safely. (Corrected 2019-01-31)
   • Provide and implement an infection prevention and control program. (Corrected 2019-01-31)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-01-31)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-01-31)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-01-31)
   • Ensure meals and snacks are served at times in accordance with residentÂ’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedu (Corrected 2019-01-31)
   • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Corrected 2019-01-31)
   • Have enough backup water supply for essential areas of the nursing home. (Corrected 2019-01-31)

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

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-01-31)
   • Honor each resident's preferences, choices, values and beliefs. (Corrected 2019-01-31)
   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2019-01-31)
   • Ensure that residents are free from significant medication errors. (Corrected 2019-01-31)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-01-31)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-01-31)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-01-31)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-01-31)

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

   • Prepare residents for a safe transfer or discharge from the nursing home. (Corrected 2019-01-31)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-01-31)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-01-31)
   • 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 2019-01-31)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-01-31)
   • 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 2019-01-31)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-01-31)
   • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2019-01-31)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-01-31)
   • 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 2019-01-31)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-01-31)
   • 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 2019-01-31)

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

   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-01-31)