Inspection Results » Conestoga View

Health Inspection on September 13, 2018 ^[1]

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-10-31)

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

   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-10-31)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-10-31)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-10-31)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-10-31)
   • 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 2018-10-31)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-10-31)
   • Provide activities to meet all resident's needs. (Corrected 2018-10-31)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-10-31)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-10-31)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-10-31)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-10-31)
   • 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 2018-10-31)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-31)
   • Provide and implement an infection prevention and control program. (Corrected 2018-10-31)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-10-31)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-10-31)
   • Respond appropriately to all alleged violations. (Corrected 2018-10-31)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-10-31)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-10-31)