Inspection Results » Mckinley Center

  1. Health Inspection on September 20, 2018 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-10-20)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-10-20)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-10-20)
      • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-10-20)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-20)
      • Assess the resident when there is a significant change in condition (Corrected 2018-10-20)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-10-20)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-10-20)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. (Corrected 2018-10-20)
      • Provide or obtain dental services for each resident. (Corrected 2018-10-20)
      • Provide and implement an infection prevention and control program. (Corrected 2018-10-20)
      • 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 2018-10-20)
      • Observe each nurse aide's job performance and give regular training. (Corrected 2018-10-20)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-10-20)
      • 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 2018-10-20)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-10-20)
      • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-10-20)
      • Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (Corrected 2018-10-20)
      • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-10-20)
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-10-20)

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