Inspection Results » Pacific Health and Rehabilitation

Health Inspection on February 16, 2018 ^[1]

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-03-26)

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

   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-03-26)
   • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-03-26)

3. Pattern: 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 2018-03-26)
   • 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 2018-03-26)

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

   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-03-26)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-03-26)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-03-26)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-03-26)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-03-26)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-03-26)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-03-26)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-03-26)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-03-26)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-03-26)
   • Keep all essential equipment working safely. (Corrected 2018-03-26)

5. Widespread: No actual harm with potential for minimal harm

   • Post nurse staffing information every day. (Corrected 2018-03-26)