Inspection Results » Village Health & Rehabilitation

  1. Health Inspection on April 6, 2018 [1]

    1. Isolated: Immediate jeopardy to the resident health or safety
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-05-04)
    2. Widespread: Actual harm that is not immediate jeopardy
      • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-05-04)
    3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-05-04)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-05-04)
      • Provide and implement an infection prevention and control program. (Corrected 2018-05-04)
      • 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 2018-05-04)
      • 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 2018-05-04)
    4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2018-05-04)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-05-04)
      • Ensure that residents are free from significant medication errors. (Corrected 2018-05-04)
      • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2018-05-04)
      • Assess the resident when there is a significant change in condition (Corrected 2018-05-04)
      • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-05-04)
      • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-05-04)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-05-04)
    5. Widespread: No actual harm with potential for minimal harm
      • Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. (Corrected 2018-05-04)
    6. Pattern: No actual harm with potential for minimal harm
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-05-04)

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