Inspection Results » Pheasant Ridge Nursing & Rehab Center

  1. Health Inspection on December 14, 2018 [1]

    1. Isolated: Actual harm that is not immediate jeopardy
      • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2019-02-13)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-04-03)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-02-13)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-04-03)
    2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-04-03)
      • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2019-02-13)
      • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-05-02)
    3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure that residents are free from significant medication errors. (Corrected 2019-05-02)
      • Provide and implement an infection prevention and control program. (Corrected 2019-04-03)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-02-13)
      • 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 2019-02-13)
    4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Prepare residents for a safe transfer or discharge from the nursing home. (Corrected 2019-02-13)
      • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (Corrected 2019-02-13)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-02-13)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-02-13)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-02-13)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-13)
      • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Corrected 2019-02-13)
      • 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 2019-02-13)
      • 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 2019-02-13)
      • 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 2019-04-03)
      • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2019-02-13)
      • Respond appropriately to all alleged violations. (Corrected 2019-02-13)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-13)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-05-02)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-05-02)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-04-03)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-04-03)
      • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-02-13)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-02-13)
      • Ensure each resident receives an accurate assessment. (Corrected 2019-02-13)

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