Inspection Results » The Estates at Twin Rivers LLC

Health Inspection on January 31, 2019 ^[1]

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

   • Provide and implement an infection prevention and control program. (Corrected 2019-03-17)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-03-17)

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

   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-03-17)

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

   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-03-17)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-03-17)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-03-17)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-03-17)
   • 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 2019-03-17)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-03-17)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-03-12)
   • 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 2019-03-17)
   • Ensure that residents are free from significant medication errors. (Corrected 2019-03-17)
   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2019-03-17)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-03-17)

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

   • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected 2019-03-17)