Inspection Results » Martinsville Health and Rehab

Health Inspection on June 4, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-07-26)

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

   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-08-24)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-07-26)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-07-26)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-24)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-07-26)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-07-26)
   • 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 2018-07-26)
   • Honor each resident's preferences, choices, values and beliefs. (Corrected 2018-07-26)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-08-24)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-08-24)
   • Provide and implement an infection prevention and control program. (Corrected 2018-07-26)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-07-26)

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

   • Keep residents' personal and medical records private and confidential. (Corrected 2018-07-26)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-08-24)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-07-26)
   • 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 2018-08-24)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-07-26)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-07-26)
   • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2018-08-24)
   • 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 2018-08-24)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-07-26)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-08-24)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-08-24)
   • 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 2018-07-26)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-08-24)
   • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (Corrected 2018-07-26)