Inspection Results » Grand Pavilion at the Plaza

Health Inspection on March 14, 2019 ^[1]

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

   • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Corrected 2019-04-28)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-04-28)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-04-28)
   • Provide and implement an infection prevention and control program. (Corrected 2019-04-28)

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

   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-04-28)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-04-28)
   • Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (Corrected 2019-04-28)
   • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2019-04-28)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2019-04-28)
   • 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 2019-04-28)
   • 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 2019-04-28)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-04-28)

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

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-04-28)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-04-28)
   • 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 2019-04-28)
   • Dispose of garbage and refuse properly. (Corrected 2019-04-28)
   • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Corrected 2019-04-28)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2019-04-28)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-04-28)
   • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Corrected 2019-04-28)
   • Provide activities to meet all resident's needs. (Corrected 2019-04-28)