Inspection Results » Ashby Ponds Inc

Health Inspection on June 8, 2018 ^[1]

1. 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 2018-07-20)

2. Isolated: 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 2018-07-20)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-07-20)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-07-20)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-07-20)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-07-20)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-07-20)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-07-20)
   • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2018-07-20)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-07-20)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-07-20)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-07-20)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-07-20)
   • 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 2018-07-20)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-07-20)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-07-20)

3. Pattern: No actual harm with potential for minimal harm

   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-07-20)