Inspection Results » Skld West Bloomfield

Health Inspection on February 27, 2019 ^[1]

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

   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-04-08)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-04-08)

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

   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-04-08)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-04-08)

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

   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-04-08)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-04-08)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-04-08)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-04-08)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2019-04-08)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-04-08)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-04-08)
   • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2019-04-08)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-04-08)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-04-08)
   • 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 2019-04-08)

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

   • Post nurse staffing information every day. (Corrected 2019-04-08)