Inspection Results » Wareham Healthcare

Health Inspection on February 12, 2019 ^[1]

1. Isolated: Immediate jeopardy to the resident health or safety

   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2019-03-27)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-03-27)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-05-02)

2. Isolated: Actual harm that is not immediate jeopardy

   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-03-27)
   • Give the resident's representative the ability to exercise the resident's rights. (Corrected 2019-03-27)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-03-27)
   • Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (Corrected 2019-05-02)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-03-27)

3. 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 2019-03-27)
   • Have policies on smoking. (Corrected 2019-03-27)
   • Implement a program that monitors antibiotic use. (Corrected 2019-03-27)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2019-03-27)
   • Provide and implement an infection prevention and control program. (Corrected 2019-03-27)
   • 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 2019-03-27)

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

   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-05-02)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-03-27)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-03-27)
   • 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 2019-03-27)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-05-02)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-05-02)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-03-27)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-03-27)
   • 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 2019-05-02)
   • Keep residents' personal and medical records private and confidential. (Corrected 2019-03-27)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-05-02)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2019-03-27)

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 2019-03-27)