Inspection Results » Kadima Rehabilitation & Nursing at Palmyra

Health Inspection on February 22, 2019 ^[1]

1. 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 2019-04-14)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-04-14)

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

   • Provide or obtain dental services for each resident. (Corrected 2019-04-14)
   • Provide activities to meet all resident's needs. (Corrected 2019-04-14)
   • Ensure the activities program is directed by a qualified professional. (Corrected 2019-04-14)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-04-14)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-04-14)
   • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Corrected 2019-04-14)
   • 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 2019-04-14)

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

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-14)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-04-14)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-04-14)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-04-14)
   • 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 2019-04-14)
   • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (Corrected 2019-04-14)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-04-14)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-04-14)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-04-14)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-04-14)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-04-14)
   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2019-04-14)

4. Pattern: No actual harm with potential for minimal harm

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-04-14)