Inspection Results » Sierra Ridge Health and Wellness Suites

Health Inspection on October 29, 2018 ^[1]

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

   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-12-12)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-12-12)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-12-12)
   • Hire a qualified full-time social worker in a facility with more than 120 beds. (Corrected 2018-12-12)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-12)

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

   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-12-12)
   • Employ staff that are licensed, certified, or registered in accordance with state laws. (Corrected 2018-12-12)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-12)
   • 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 2018-12-12)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-12-12)

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

   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-12-12)
   • Provide or obtain dental services for each resident. (Corrected 2018-12-12)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-12-12)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-12-12)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-12-12)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-12-12)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-12-12)
   • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-12-12)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-12-12)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-12-12)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-12-12)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-12-12)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-12-12)
   • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2018-12-12)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-12-12)
   • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (Corrected 2018-12-12)
   • 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 2018-12-12)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-12-12)
   • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2018-12-12)
   • Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. (Corrected 2018-12-12)

4. Widespread: No actual harm with potential for minimal harm

   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-12-12)