Inspection Results » Sunset Hills Health and Rehabilitation Center

  1. Health Inspection on April 3, 2019 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2019-05-02)
      • 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 2019-05-02)
      • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-05-02)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-05-02)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-05-02)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-05-02)
      • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-05-02)
      • 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 2019-05-02)
      • 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 2019-05-02)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-05-02)
    2. Isolated: 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 2019-05-02)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-05-02)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-05-02)
      • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2019-05-02)
      • 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 2019-05-02)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-05-02)

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