Inspection Results » Autumn Care of Chesapeake

Health Inspection on October 18, 2018 ^[1]

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

   • 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 2018-11-16)
   • 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 2018-11-16)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-11-16)

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

   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-11-16)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-11-16)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-11-16)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-16)
   • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2018-11-16)
   • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Corrected 2018-11-16)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-11-16)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-11-16)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-11-16)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-11-16)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-11-16)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-11-16)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2018-11-16)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-11-16)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-11-16)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-11-16)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-11-16)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-11-16)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-11-16)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-11-16)

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

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-16)