Inspection Results » Our Lady of the Valley

  1. Health Inspection on February 15, 2018 [1]

    1. Pattern: 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 2018-03-30)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-03-30)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-03-30)
      • 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 2018-03-30)
      • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-03-30)
      • 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 2018-03-30)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-03-30)
      • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-03-30)
      • Keep residents' personal and medical records private and confidential. (Corrected 2018-03-30)
      • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-03-30)
      • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-03-30)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-03-30)

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