Inspection Results » Bourne Manor Extended Care Facility

Health Inspection on January 23, 2019 ^[1]

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

   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-02-26)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2019-03-01)
   • 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 2019-02-22)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2019-03-01)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2019-03-01)
   • Provide and implement an infection prevention and control program. (Corrected 2019-01-24)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2019-02-18)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2019-02-21)

2. Isolated: No actual harm with potential for more than minimal 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 2019-02-22)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-02-14)
   • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Corrected 2019-02-22)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-28)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-03-01)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-02-22)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-02-22)
   • 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 2019-02-22)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-18)
   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2019-02-22)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-03-01)
   • Implement a program that monitors antibiotic use. (Corrected 2019-02-22)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-01-24)
   • Have policies on smoking. (Corrected 2019-03-01)
   • Give the resident's representative the ability to exercise the resident's rights. (Corrected 2019-02-22)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-02-22)