Inspection Results » Avamere Bellingham Health Care & Rehab Services

  1. Health Inspection on May 18, 2018 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-07-11)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-07-11)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-07-11)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-07-11)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-07-11)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-07-11)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-07-11)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-07-11)
      • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-07-11)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-07-11)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2018-07-11)
      • 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 2018-07-11)
      • 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 2018-07-11)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-07-11)
      • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2018-07-11)
      • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-07-11)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-07-11)
      • 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 2018-07-11)
      • Provide or obtain dental services for each resident. (Corrected 2018-07-11)
      • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-07-11)
      • Respond appropriately to all alleged violations. (Corrected 2018-07-11)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-07-11)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-07-11)
      • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2018-07-11)
      • Provide activities to meet all resident's needs. (Corrected 2018-07-11)
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-07-11)
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-07-11)
      • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-07-11)
      • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-07-11)
      • 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 2018-07-11)

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