Inspection Results » Clapp's Convalescent Nursing Home Inc

Health Inspection on May 24, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-07-18)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-07-18)

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

   • Provide and implement an infection prevention and control program. (Corrected 2018-07-20)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-07-18)

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

   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-07-18)
   • Provide appropriate foot care. (Corrected 2018-07-18)
   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2018-07-18)
   • Assess the resident when there is a significant change in condition (Corrected 2018-07-18)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-07-18)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-07-18)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-07-18)
   • 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 2018-07-18)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-07-18)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-07-18)

4. 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 2018-07-18)