Inspection Results » Estates of Spanish Lake, The

Health Inspection on June 26, 2018 ^[1]

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

   • Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. (Corrected 2018-08-10)

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

   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-08-10)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-10)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-08-10)
   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-08-10)
   • 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 2018-08-10)

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

   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-08-10)
   • Provide or get specialized rehabilitative services as required for a resident. (Corrected 2018-08-10)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-08-10)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-08-10)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-08-10)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-08-10)
   • Provide routine and 24-hour emergency dental care for each resident. (Corrected 2018-08-10)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-08-10)