Inspection Results » Bay View Nursing & Rehabilitation Center

  1. Health Inspection on February 19, 2019 [1]

    1. Isolated: Actual harm that is not immediate jeopardy
      • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2019-04-30)
    2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (Corrected 2019-04-30)
      • Observe each nurse aide's job performance and give regular training. (Corrected 2019-04-30)
      • Implement a program that monitors antibiotic use. (Corrected 2019-04-30)
      • Provide and implement an infection prevention and control program. (Corrected 2019-04-30)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-04-30)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Respond appropriately to all alleged violations. (Corrected 2019-04-30)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-04-30)
      • Ensure each resident receives an accurate assessment. (Corrected 2019-04-30)
      • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2019-04-30)
      • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2019-04-30)
      • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Corrected 2019-04-30)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-30)
      • Ensure that residents are free from significant medication errors. (Corrected 2019-04-30)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-04-30)
      • 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 2019-04-30)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-04-30)
      • 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 2019-04-30)
      • Keep residents' personal and medical records private and confidential. (Corrected 2019-04-30)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-04-30)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-04-30)
      • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-04-30)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-04-30)
      • Provide or obtain dental services for each resident. (Corrected 2019-04-30)
      • 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 2019-04-30)
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-04-30)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-04-30)
      • Provide activities to meet all resident's needs. (Corrected 2019-04-30)

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