Inspection Results » Ravenwood Nursing Care Center

  1. Health Inspection on February 5, 2018 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-03-28)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-03-28)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-03-28)
      • 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 2018-03-28)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-03-28)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-03-28)
      • Observe each nurse aide's job performance and give regular training. (Corrected 2018-03-28)
      • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-03-28)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-03-28)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-03-28)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-03-28)
      • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-03-28)
      • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-03-28)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-03-28)
      • Provide routine and 24-hour emergency dental care for each resident. (Corrected 2018-03-28)
      • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2018-03-28)
      • 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 2018-03-28)
      • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-03-28)
      • Honor each resident's preferences, choices, values and beliefs. (Corrected 2018-03-28)
      • 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 2018-03-28)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-03-28)
      • Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (Corrected 2018-03-28)
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-03-28)
    4. Widespread: No actual harm with potential for minimal harm
      • 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 2018-03-28)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html