Inspection Results » Fernhill Estates

Health Inspection on February 6, 2018 ^[1]

1. Pattern: Immediate jeopardy to the resident health or safety

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-02-06)

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

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-03-13)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-03-13)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-03-13)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-03-13)
   • Provide and implement an infection prevention and control program. (Corrected 2018-03-13)
   • 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 2018-03-13)

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

   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-03-13)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-03-13)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-03-13)
   • 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 2018-03-13)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-03-13)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-03-13)
   • 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 2018-03-13)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-03-13)