Inspection Results » Englewood Health and Rehab

Health Inspection on November 2, 2018 ^[1]

1. Widespread: 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 2018-12-02)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-12-02)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-12-02)

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

   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-12-02)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-12-02)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-12-02)

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

   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-12-02)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-12-02)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-12-02)
   • 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 2018-12-02)
   • Prepare residents for a safe transfer or discharge from the nursing home. (Corrected 2018-12-02)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-12-02)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-12-02)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-12-02)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-12-02)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-12-02)
   • Protect each resident from the wrongful use of the resident's belongings or money. (Corrected 2018-12-02)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-12-02)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-12-02)
   • Respond appropriately to all alleged violations. (Corrected 2018-12-02)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-02)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-12-02)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-12-02)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-12-02)
   • 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 2018-12-02)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-12-02)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-12-02)