Inspection Results » Cadia Healthcare - Springbrook

Health Inspection on September 14, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Corrected 2018-11-27)

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

   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-11-27)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-12-11)

3. Isolated: 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 2018-11-27)
   • Provide and implement an infection prevention and control program. (Corrected 2018-11-27)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-11-27)
   • Provide special eating equipment and utensils for residents who need them and appropriate assistance. (Corrected 2018-11-27)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-11-27)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-11-27)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-11-27)
   • 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 2018-11-27)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-11-27)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-11-27)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. (Corrected 2018-11-27)

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

   • Honor the resident's right to manage his or her financial affairs. (Corrected 2018-11-27)

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

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-11-27)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-11-27)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-11-27)