Inspection Results » Fidalgo Care Center

Health Inspection on January 11, 2019 ^[1]

1. 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 2019-03-19)

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

   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-03-19)
   • Ensure that residents are free from significant medication errors. (Corrected 2019-03-19)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-03-19)
   • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Corrected 2019-03-19)
   • 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 2019-03-19)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-03-19)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-03-19)
   • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2019-03-19)
   • 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 2019-03-19)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-03-19)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-03-19)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-03-19)
   • 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 2019-03-19)
   • Provide and implement an infection prevention and control program. (Corrected 2019-03-19)
   • 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 2019-03-19)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-03-19)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-03-19)