Inspection Results » Our Lady of Peace Inc

  1. Health Inspection on September 13, 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 2018-10-28)
    2. Pattern: 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 2018-10-28)
    3. Isolated: 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 2018-10-28)
      • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-10-28)
      • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-10-28)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-10-28)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-10-28)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-10-28)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-10-28)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-10-28)
      • 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 2018-10-28)
      • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-10-28)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-10-28)

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