Inspection Results » El Jen Convalescent Hospital and Retirement Center

Health Inspection on November 16, 2018 ^[1]

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

   • Provide routine and 24-hour emergency dental care for each resident. (Corrected 2018-12-31)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-12-31)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-12-31)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-12-31)
   • 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 2018-12-31)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-12-31)
   • 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 2018-12-31)
   • Provide and implement an infection prevention and control program. (Corrected 2018-12-31)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-12-31)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-12-31)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-12-31)
   • 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 2018-12-31)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-12-31)
   • Provide or obtain dental services for each resident. (Corrected 2018-12-31)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-12-31)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-12-31)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-12-31)
   • Provide or get specialized rehabilitative services as required for a resident. (Corrected 2018-12-31)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-12-31)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-31)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-31)
   • Have a policy regarding use and storage of foods brought to residents by family and other visitors. (Corrected 2018-12-31)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-12-31)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-12-31)