Inspection Results » Onondaga Center for Rehabilitation and Nursing

Health Inspection on February 9, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-03-31)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-03-31)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-03-31)

2. 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 2018-03-31)
   • Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. (Corrected 2018-03-31)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-03-31)
   • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Corrected 2018-03-31)

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

   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-03-31)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-05-08)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-03-31)
   • 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 2018-03-31)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-03-31)

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

   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-03-31)
   • Provide and implement an infection prevention and control program. (Corrected 2018-03-31)
   • Implement a program that monitors antibiotic use. (Corrected 2018-03-31)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-03-31)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-03-31)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-03-31)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-03-31)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-03-31)
   • 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 2018-03-31)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-03-31)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-03-31)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-03-31)