Inspection Results » Patapsco Valley Center

Health Inspection on May 23, 2018 ^[1]

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

   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-07-07)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-07-07)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-07-07)

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

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-07-07)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-07-07)
   • 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 2018-07-07)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-07-07)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-07-07)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-07-07)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-07-07)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-07-07)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-07-07)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-07-07)
   • Respond appropriately to all alleged violations. (Corrected 2018-07-07)
   • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-07-07)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-07-07)

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

   • Keep complete, dated laboratory records in the resident's record. (Corrected 2018-07-07)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-07-07)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-07-07)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-07-07)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-07-07)
   • Post nurse staffing information every day. (Corrected 2018-07-07)
   • Have enough outside ventilation via a window or mechanical ventilation, or both. (Corrected 2018-07-07)
   • Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. (Corrected 2018-07-07)
   • 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 2018-07-07)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-07-07)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-07-07)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-07-07)
   • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2018-07-07)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-07-07)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-07-07)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-07-07)
   • 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 2018-07-07)
   • 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 2018-07-07)
   • Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. (Corrected 2018-07-07)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-07-07)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-07-07)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-07-07)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-07-07)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-07-07)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-07-07)
   • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2018-07-07)
   • Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. (Corrected 2018-07-07)
   • Provide and implement an infection prevention and control program. (Corrected 2018-07-07)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-07-07)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-07-07)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-07-07)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-07-07)
   • 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 2018-07-07)