Inspection Results » Sunshine Terrace Foundation

  1. Health Inspection on December 20, 2018 [1]

    1. Isolated: Actual harm that is not immediate jeopardy
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-03-05)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-03-05)
    2. 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 2019-03-05)
      • 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 2019-03-05)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-03-05)
      • Ensure that residents are free from significant medication errors. (Corrected 2019-05-10)
      • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-03-05)
      • Provide and implement an infection prevention and control program. (Corrected 2019-03-05)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-03-05)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2019-03-05)
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-03-05)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-03-05)
      • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-03-05)

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