Inspection Results » Concordia Transitional Care and Rehab-Bay Pointe

  1. Health Inspection on October 26, 2018 [1]

    1. Pattern: No actual harm with potential for more than minimal 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 2018-12-10)
      • Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (Corrected 2018-12-10)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-12-10)
      • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-12-10)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-12-10)
      • Provide activities to meet all resident's needs. (Corrected 2018-12-10)
      • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-12-10)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-12-10)
      • Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. (Corrected 2018-12-10)
      • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-12-10)
      • Provide and implement an infection prevention and control program. (Corrected 2018-12-10)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-12-10)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-12-10)
      • Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. (Corrected 2018-12-10)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-10)
      • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-12-10)
      • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-12-10)
      • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-12-10)
      • 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 2018-12-10)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-12-10)

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