Inspection Results » Westminster Healthcare Center

  1. Health Inspection on November 3, 2017 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. (Corrected 2017-12-12)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Keep accurate, complete and organized clinical records on each resident that meet professional standards. (Corrected 2017-12-12)
      • Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. (Corrected 2017-12-12)
      • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2017-12-12)
      • Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. (Corrected 2017-12-12)
      • Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. (Corrected 2017-12-12)
      • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (Corrected 2017-12-12)
      • Store, cook, and serve food in a safe and clean way. (Corrected 2017-12-12)
      • Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. (Corrected 2017-12-12)
      • Provide care by qualified persons according to each resident's written plan of care. (Corrected 2017-12-12)
      • Allow residents the right to participate in the planning or revision of care and treatment. (Corrected 2017-12-12)
      • Ensure each resident receives an accurate assessment by a qualified health professional. (Corrected 2017-12-12)
      • Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. (Corrected 2017-12-12)
      • Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2017-12-12)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2017-12-12)
      • Ensure residents maintain acceptable nutritional status. (Corrected 2017-12-12)
      • 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. (Corrected 2017-12-12)
      • Provide housekeeping and maintenance services. (Corrected 2017-12-12)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2017-12-12)
      • Post nurse staffing information/data on a daily basis. (Corrected 2017-12-12)
      • Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. (Corrected 2017-12-12)
      • Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. (Corrected 2017-12-12)
      • Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. (Corrected 2017-12-12)
      • Provide necessary care and services to maintain or improve the highest well being of each resident . (Corrected 2017-12-12)
      • 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. (Corrected 2017-12-12)
      • Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. (Corrected 2017-12-12)

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