Inspection Results » Glen Burnie Health and Rehabilitation Center

Health Inspection on June 15, 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 organize and participate in resident/family groups in the facility. (Corrected 2018-07-30)
   • 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 2018-07-30)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-07-30)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-07-30)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-07-30)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-07-30)
   • 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 2018-07-30)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-07-30)
   • Provide and implement an infection prevention and control program. (Corrected 2018-07-30)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-07-30)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-07-30)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-07-30)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-07-30)
   • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2018-07-30)
   • Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (Corrected 2018-07-30)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-07-30)

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

   • Post nurse staffing information every day. (Corrected 2018-07-30)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-07-30)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-07-30)
   • Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. (Corrected 2018-07-30)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-07-30)
   • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2018-07-30)
   • Keep complete, dated laboratory records in the resident's record. (Corrected 2018-07-30)
   • Keep all essential equipment working safely. (Corrected 2018-07-30)
   • Respond appropriately to all alleged violations. (Corrected 2018-07-30)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-07-30)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-07-30)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-07-30)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-07-30)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-07-30)
   • 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 2018-07-30)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-07-30)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-07-30)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-07-30)
   • Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. (Corrected 2018-07-30)

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

   • Dispose of garbage and refuse properly. (Corrected 2018-07-30)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-07-30)
   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-07-30)
   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2018-07-30)
   • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (Corrected 2018-07-30)