Inspection Results » Elizabeth Adam Crump Health and Rehab

Health Inspection on April 27, 2018 ^[1]

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

   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-05-29)

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

   • 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 2018-05-29)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-05-29)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-05-29)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-05-29)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-05-29)
   • 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 2018-05-29)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-05-29)
   • Provide and implement an infection prevention and control program. (Corrected 2018-05-29)

3. 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 2018-05-29)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-05-29)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-05-29)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-05-29)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-05-29)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-05-29)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-05-29)
   • 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 2018-05-29)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-05-29)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-05-29)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-05-29)
   • 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 2018-05-29)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-05-29)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-05-29)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-03-21)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-05-29)
   • Provide activities to meet all resident's needs. (Corrected 2018-05-29)
   • Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. (Corrected 2018-05-29)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-05-29)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-05-29)