Inspection Results » Canyon Transitional Rehabilitation Center, LLC

  1. Health Inspection on August 10, 2018 [1]

    1. Widespread: 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 2018-10-03)
      • Provide and implement an infection prevention and control program. (Corrected 2018-10-03)
      • Post nurse staffing information every day. (Corrected 2018-10-03)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-10-03)
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-10-03)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. (Corrected 2018-10-03)
      • 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 2018-10-03)
      • 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 2018-10-03)
      • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-10-03)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-10-03)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-03)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-10-03)
      • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-10-03)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-10-03)
      • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-10-03)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-10-03)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-10-03)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-10-03)

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