Inspection Results » Brian Center Nursing Care - St Andrews

  1. Health Inspection on October 5, 2018 [1]

    1. Widespread: 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 2018-11-11)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide and implement an infection prevention and control program. (Corrected 2018-11-11)
      • Assess the resident when there is a significant change in condition (Corrected 2018-11-11)
      • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-11-11)
      • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2018-11-11)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-11)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-11-11)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-11-11)
      • 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 2018-11-11)
      • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-11-11)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-11-11)
      • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2018-11-11)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-11-11)
      • Respond appropriately to all alleged violations. (Corrected 2018-11-11)
      • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (Corrected 2018-11-11)
      • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-11-11)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-11-11)
      • Provide activities to meet all resident's needs. (Corrected 2018-11-11)
      • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-11-11)
    4. Widespread: No actual harm with potential for minimal harm
      • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2018-11-11)
      • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-11-11)
    5. Pattern: No actual harm with potential for minimal harm
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-11-11)

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