Inspection Results » Regional West Garden County Nursing Home

Health Inspection on September 13, 2018 ^[1]

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-11-22)

2. Pattern: 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 2018-11-22)
   • Have enough outside ventilation via a window or mechanical ventilation, or both. (Corrected 2018-11-22)

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

   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2018-11-22)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-11-22)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-11-22)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-11-22)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-11-22)
   • 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 2018-11-22)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-11-22)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-11-22)
   • 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 2018-11-22)
   • 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 2018-11-22)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-22)
   • 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 2018-11-22)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-11-22)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-11-22)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-11-22)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-11-22)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-11-22)