Inspection Results » Baycrest Health Center

  1. Health Inspection on February 16, 2018 [1]

    1. Pattern: Immediate jeopardy to the resident health or safety
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-04-07)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-04-07)
    2. Isolated: Immediate jeopardy to the resident health or safety
      • Provide and implement an infection prevention and control program. (Corrected 2018-04-07)
    3. Isolated: Actual harm that is not immediate jeopardy
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-04-07)
      • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-04-07)
    4. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Corrected 2018-04-07)
    5. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-05-14)
      • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Corrected 2018-04-07)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-04-07)
    6. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-04-07)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-04-07)
      • 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 2018-04-07)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-04-07)

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