Inspection Results » Webster Park Rehabilitation and Healthcare Center

Health Inspection on February 22, 2018 ^[1]

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

   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-04-10)
   • Implement a program that monitors antibiotic use. (Corrected 2018-04-10)
   • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (Corrected 2018-04-10)

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

   • 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 2018-04-10)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-04-10)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-04-10)
   • 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 2018-04-10)
   • 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 2018-04-10)

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

   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-04-10)
   • 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 2018-04-10)
   • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Corrected 2018-04-10)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-04-10)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-04-10)
   • 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 2018-04-10)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-04-10)
   • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-04-10)
   • 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 2018-04-10)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-04-10)
   • Dispose of garbage and refuse properly. (Corrected 2018-04-10)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-04-10)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-04-10)
   • Respond appropriately to all alleged violations. (Corrected 2018-04-10)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-04-10)
   • Provide and implement an infection prevention and control program. (Corrected 2018-04-10)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-04-10)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-04-10)