Inspection Results » The Terrace at Denison

  1. Health Inspection on March 29, 2018 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-05-05)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-05-05)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-05-05)
      • 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 2018-05-05)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-05-05)
      • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-05-05)
      • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-05-05)
      • 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 2018-05-05)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-05-05)
      • Provide and implement an infection prevention and control program. (Corrected 2018-05-05)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-05-05)
      • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-05-05)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-05-05)

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