Inspection Results » Center for Extended Care at Amherst

Health Inspection on April 19, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-06-08)

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

   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-06-08)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-06-08)
   • Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (Corrected 2018-06-08)
   • Provide care by qualified persons according to each resident's written plan of care. (Corrected 2018-06-08)
   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2018-06-08)

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

   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-06-08)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-06-08)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-06-08)
   • 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 2018-06-08)
   • 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 2018-06-08)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-06-08)
   • Provide and implement an infection prevention and control program. (Corrected 2018-07-10)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-06-08)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2018-06-08)
   • 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 2018-06-08)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-06-08)
   • Respond appropriately to all alleged violations. (Corrected 2018-06-08)

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

   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-07-10)