Inspection Results » Grays Harbor Health & Rehabilitation Center

Health Inspection on August 29, 2018 ^[1]

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

   • Provide and implement an infection prevention and control program. (Corrected 2018-10-09)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-10-09)
   • 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 2018-10-09)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-10-09)
   • 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 2018-10-09)

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

   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-10-09)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-10-09)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-10-09)
   • 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 2018-10-09)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-10-09)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-10-09)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-10-09)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-10-09)
   • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Corrected 2018-10-09)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-10-09)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-09)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-10-09)