Inspection Results » Bryn Mawr Extended Care Center

  1. Health Inspection on December 13, 2018 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-01-23)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-01-23)
      • 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 2019-03-05)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2019-01-23)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-01-23)
      • Provide and implement an infection prevention and control program. (Corrected 2019-01-23)
    3. Isolated: No actual harm with potential for more than minimal 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 2019-01-23)
      • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2019-01-23)
      • Respond appropriately to all alleged violations. (Corrected 2019-01-23)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-01-23)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-01-23)
      • Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. (Corrected 2019-01-23)
      • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-01-23)

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