Inspection Results » Rehab & Nursing Center Greater Pittsburgh

Health Inspection on November 7, 2018 ^[1]

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

   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-12-14)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-12-14)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-12-14)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-12-14)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-12-14)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-12-14)
   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2018-12-14)
   • 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 2018-12-14)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-12-14)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-12-14)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-12-14)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-12-14)

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

   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-12-14)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-12-14)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-12-14)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-12-14)
   • Respond appropriately to all alleged violations. (Corrected 2018-12-14)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-12-14)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-12-14)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-12-14)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-12-14)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-12-14)
   • Provide and implement an infection prevention and control program. (Corrected 2018-12-14)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-14)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-14)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-12-14)
   • Assess the resident when there is a significant change in condition (Corrected 2018-12-14)