Inspection Results » Sentara Nursing and Rehab Center-Windermere

Health Inspection on June 5, 2018 ^[1]

1. Pattern: Immediate jeopardy to the resident health or safety

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-07-17)

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

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-07-17)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-07-17)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-07-17)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-07-17)
   • 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 2018-07-17)

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

   • 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 2018-07-17)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-07-17)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-07-17)
   • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-07-17)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-07-17)
   • Provide and implement an infection prevention and control program. (Corrected 2018-07-17)
   • 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 2018-07-17)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-07-17)

4. Widespread: No actual harm with potential for minimal harm

   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-07-17)