Inspection Results » Richfield Healthcare and Rehabilitation Center

Health Inspection on June 26, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Corrected 2018-08-21)

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

   • 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 2018-08-21)
   • 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 2018-08-21)

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

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-08-21)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-08-21)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-08-21)

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

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-08-21)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-08-21)
   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-08-21)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-08-21)
   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2018-08-21)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-08-21)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-08-21)
   • 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 2018-08-21)
   • Provide special eating equipment and utensils for residents who need them and appropriate assistance. (Corrected 2018-08-21)
   • Provide and implement an infection prevention and control program. (Corrected 2018-08-21)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-08-21)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-21)
   • Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (Corrected 2018-08-21)

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

   • Post nurse staffing information every day. (Corrected 2018-08-21)