Inspection Results » South Dennis Healthcare

  1. Health Inspection on January 11, 2019 [1]

    1. Isolated: Actual harm that is not immediate jeopardy
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-02-21)
    2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2019-02-21)
    3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Corrected 2019-02-21)
      • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-03-08)
      • Provide and implement an infection prevention and control program. (Corrected 2019-02-21)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-02-21)
      • Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (Corrected 2019-02-21)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-21)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-21)
      • Ensure the activities program is directed by a qualified professional. (Corrected 2019-02-21)
      • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-02-21)
    4. Isolated: 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 2019-02-21)
      • Give the resident's representative the ability to exercise the resident's rights. (Corrected 2019-02-21)
      • 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)
      • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2019-02-21)
      • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-02-21)
      • Have a policy regarding use and storage of foods brought to residents by family and other visitors. (Corrected 2019-02-21)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-02-21)
      • Provide activities to meet all resident's needs. (Corrected 2019-02-21)
      • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2019-02-21)
      • 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 2019-02-21)
      • 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 2019-02-21)
      • Ensure each resident receives an accurate assessment. (Corrected 2019-02-21)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-02-21)
      • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Corrected 2019-02-21)
      • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2019-02-21)
    5. Pattern: No actual harm with potential for minimal harm
      • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-02-21)
      • 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 2019-02-21)
      • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2019-02-21)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-02-21)
      • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2019-02-21)

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