Inspection Results » Winston Salem Nursing & Rehabilitation Center

Health Inspection on August 23, 2018 ^[1]

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

   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2018-09-20)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-09-20)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-09-20)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-09-20)
   • Ensure meals and snacks are served at times in accordance with residentÂ’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedu (Corrected 2018-09-20)

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

   • Keep residents' personal and medical records private and confidential. (Corrected 2018-09-20)
   • 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 2018-09-20)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-09-20)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-09-20)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-09-20)
   • 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 2018-09-20)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-09-20)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-20)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-09-20)
   • Provide appropriate foot care. (Corrected 2018-09-20)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-09-20)
   • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Corrected 2018-09-20)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-09-20)

3. Widespread: 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 2018-09-20)