Inspection Results » Keystone Ridge Post Acute Nursing and Rehab

Health Inspection on January 2, 2018 ^[1]

1. Pattern: 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 2018-02-15)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-02-15)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-02-15)

2. Isolated: Actual harm that is not immediate jeopardy

   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-02-15)
   • Honor each resident's preferences, choices, values and beliefs. (Corrected 2018-02-15)

3. Widespread: 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 2018-02-15)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-02-15)
   • Ensure the activities program is directed by a qualified professional. (Corrected 2018-02-15)
   • 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 2018-02-15)

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

   • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-02-15)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-02-15)

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

   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-02-15)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-02-15)
   • Provide activities to meet all resident's needs. (Corrected 2018-02-15)
   • 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 2018-02-15)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-02-15)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-02-15)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-02-15)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-02-15)
   • 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 2018-02-15)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-02-15)
   • 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 2018-02-15)
   • 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 2018-02-15)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-02-15)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-02-15)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-02-15)