Inspection Results » Skies Healthcare & Rehabilitation Center, LLC

Health Inspection on September 10, 2018 ^[1]

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

   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-12-17)
   • Provide and implement an infection prevention and control program. (Corrected 2018-12-17)
   • 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 2018-12-17)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-10-17)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-10-17)
   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-10-17)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-10-17)
   • 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 2018-10-17)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-10-17)
   • 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 2018-10-17)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-10-17)

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

   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-10-17)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-10-17)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-10-17)
   • Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. (Corrected 2018-10-17)
   • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentÂ’s advance directives. (Corrected 2018-10-17)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-10-17)
   • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-10-17)

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

   • Ensure each resident receives an accurate assessment. (Corrected 2018-10-17)
   • Provide or get specialized rehabilitative services as required for a resident. (Corrected 2018-10-17)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-10-17)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-10-17)

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

   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-10-17)