Inspection Results » Manor Care of Gig Harbor Wa, LLC

Health Inspection on July 23, 2018 ^[1]

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

   • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2018-08-30)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-08-30)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-08-30)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-08-30)

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

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-30)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-08-30)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-08-30)
   • Provide activities to meet all resident's needs. (Corrected 2018-08-30)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-08-30)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2018-08-30)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-08-30)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-08-30)
   • 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 2018-08-30)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-08-30)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-08-30)
   • 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 2018-08-30)
   • 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 2018-08-30)
   • 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 2018-08-30)
   • Ensure meals and snacks are served at times in accordance with residentÂ’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedu (Corrected 2018-08-30)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-08-30)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-08-30)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-30)
   • 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 2018-08-30)