Inspection Results » Las Palomas Center

  1. Health Inspection on July 2, 2018 [1]

    1. Isolated: Actual harm that is not immediate jeopardy
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-08-10)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-10)
    2. Widespread: 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 2018-08-10)
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-08-10)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-08-10)
    3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-08-10)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-08-10)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-08-10)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-08-10)
      • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-08-10)
      • 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 2018-08-10)
      • 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 2018-08-10)
      • 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 2018-08-10)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-10)
    4. 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 2018-08-10)
      • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-08-10)

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