Inspection Results » Birchaven Retirement Village

  1. Health Inspection on October 25, 2018 [1]

    1. Pattern: 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 2018-12-05)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-05)
      • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-12-05)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-12-05)
      • Provide and implement an infection prevention and control program. (Corrected 2018-12-05)
      • Protect each resident from the wrongful use of the resident's belongings or money. (Corrected 2018-12-05)
      • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-12-05)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-12-05)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-12-05)
      • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2018-12-05)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-12-05)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-12-05)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-12-05)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html