Inspection Results » Cold Spring Hills Center for Nursing and Rehab

Health Inspection on October 12, 2018 ^[1]

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

   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-12-11)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-12-11)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-12-11)
   • 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 2018-12-11)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-12-11)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-12-11)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-12-11)
   • Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (Corrected 2018-12-11)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-11)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-12-11)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-12-11)
   • Provide care by qualified persons according to each resident's written plan of care. (Corrected 2018-12-11)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-11)
   • Provide and implement an infection prevention and control program. (Corrected 2018-12-11)

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

   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-12-11)