Inspection Results » Cambridge Care and Rehabilitation

Health Inspection on September 20, 2018 ^[1]

1. 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 2018-10-12)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-10-12)
   • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2018-10-12)

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

   • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Corrected 2018-10-12)
   • 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 2018-10-12)
   • 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 2018-10-12)
   • Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (Corrected 2018-10-12)

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

   • 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 2018-10-12)
   • 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 2018-10-12)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-10-12)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-12)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-10-12)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-10-12)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-10-12)
   • 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 2018-10-12)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-10-12)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-10-12)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-10-12)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-10-12)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-10-12)