Inspection Results » The Oaks at Lakewood

  1. Health Inspection on October 11, 2018 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (Corrected 2018-11-16)
      • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-11-16)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2018-11-16)
      • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-11-16)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-11-16)
      • 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 2018-11-16)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-11-16)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-11-16)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-16)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-11-27)
      • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-11-16)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-11-16)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-11-16)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-11-16)
      • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-11-16)
      • 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 2018-11-16)
      • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-11-16)
      • Provide activities to meet all resident's needs. (Corrected 2018-11-16)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-11-16)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-11-16)
      • Provide and implement an infection prevention and control program. (Corrected 2018-11-16)
      • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-11-16)

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