Inspection Results » Aldercrest Health & Rehab Center

Health Inspection on July 19, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • 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 2018-10-02)

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

   • Post nurse staffing information every day. (Corrected 2018-08-23)

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

   • 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 2018-08-23)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-08-23)
   • 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 2018-08-23)

4. Isolated: 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 2018-08-23)
   • 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 2018-08-23)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-08-23)
   • Provide or obtain dental services for each resident. (Corrected 2018-08-23)
   • 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 2018-08-23)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-08-23)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-08-23)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-23)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-08-23)
   • Provide and implement an infection prevention and control program. (Corrected 2018-08-23)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-08-23)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-08-23)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-08-23)
   • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Corrected 2018-08-23)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-08-23)