Inspection Results » Sudbury Pines Extended Care

Health Inspection on January 15, 2019 ^[1]

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

   • Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. (Corrected 2019-03-01)

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

   • Provide activities to meet all resident's needs. (Corrected 2019-03-01)

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

   • 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 2019-03-01)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-03-01)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-03-01)
   • Provide and implement an infection prevention and control program. (Corrected 2019-03-01)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2019-03-01)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-03-01)
   • 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 2019-03-01)
   • Provide or obtain dental services for each resident. (Corrected 2019-03-01)
   • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Corrected 2019-03-01)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-03-01)

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

   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2019-03-01)