Inspection Results » Springbrook Nursing & Rehabilitation Center

Health Inspection on February 22, 2019 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-03-18)

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-03-18)

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

   • 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 2019-05-14)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-03-18)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-03-18)

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

   • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2019-03-18)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-03-18)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-03-18)
   • Provide and implement an infection prevention and control program. (Corrected 2019-05-14)

5. Widespread: No actual harm with potential for minimal harm

   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2019-03-18)
   • Post nurse staffing information every day. (Corrected 2019-03-18)

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

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-03-18)