Inspection Results » Carrington Place at Wytheville - Birdmont Center

  1. Health Inspection on March 1, 2018 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-04-04)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2018-04-04)
      • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-04-04)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-04-04)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-04-04)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-04-04)
      • Provide and implement an infection prevention and control program. (Corrected 2018-04-04)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-04-04)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-04-04)
      • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2018-04-04)
      • Provide doctor's orders for the resident's immediate care at the time the resident was admitted. (Corrected 2018-04-04)
      • Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (Corrected 2018-04-04)
      • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-04-04)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-04-04)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-04-04)
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-04-04)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-04-04)
      • 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 2018-04-04)
      • Ensure that residents are free from significant medication errors. (Corrected 2018-04-04)
    4. Widespread: No actual harm with potential for minimal harm
      • Post nurse staffing information every day. (Corrected 2018-04-04)

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