Inspection Results » Grand Terrace Rehabilitation and Healthcare

Health Inspection on June 29, 2018 ^[1]

1. Widespread: 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 2018-08-10)
   • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-08-10)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-10)

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

   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-08-10)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-08-10)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-10)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-08-10)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-08-10)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-08-10)
   • Have a policy regarding use and storage of foods brought to residents by family and other visitors. (Corrected 2018-08-10)
   • 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 2018-08-10)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-08-10)
   • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Corrected 2018-08-10)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-08-10)
   • 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 2018-08-10)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-08-10)