Inspection Results » The Pines Genesis Eldercare

Health Inspection on October 25, 2018 ^[1]

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

   • 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 2018-12-01)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-12-01)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-12-01)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-12-01)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-01)
   • Keep all essential equipment working safely. (Corrected 2018-12-01)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-12-01)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-12-01)

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

   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-12-01)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-12-01)
   • 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 2018-12-01)
   • 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 2018-12-01)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-12-01)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-12-01)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2018-12-01)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-12-01)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-12-01)
   • Provide and implement an infection prevention and control program. (Corrected 2018-12-01)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-12-01)
   • Provide or obtain dental services for each resident. (Corrected 2018-12-01)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-01)
   • 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 2018-12-01)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-12-01)
   • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (Corrected 2018-12-01)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-10-25)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-12-01)
   • 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 2018-12-01)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-12-01)