Inspection Results » Spanish Hills Wellness Suites

  1. Health Inspection on February 1, 2019 [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 2019-03-08)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2019-03-08)
      • 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 2019-03-08)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2019-03-08)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-03-08)
      • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Corrected 2019-03-08)
      • Provide and implement an infection prevention and control program. (Corrected 2019-03-08)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-03-08)
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-03-08)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-03-08)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-03-08)
      • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2019-03-08)
    4. Widespread: No actual harm with potential for minimal harm
      • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2019-03-08)

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