Inspection Results » Crestwood Health and Rehabilitation Center

Health Inspection on March 28, 2019 ^[1]

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

   • Provide and implement an infection prevention and control program. (Corrected 2019-05-12)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-05-12)

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 2019-05-12)
   • Honor the resident's right to manage his or her financial affairs. (Corrected 2019-05-12)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-05-12)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2019-05-12)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2019-05-12)
   • 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 2019-05-12)

3. 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 2019-05-12)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-05-12)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-05-12)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-05-12)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-05-12)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-05-12)
   • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2019-05-12)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-05-12)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2019-05-12)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2019-05-12)
   • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Corrected 2019-05-12)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2019-05-12)
   • 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 2019-05-12)
   • 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 2019-05-12)
   • Respond appropriately to all alleged violations. (Corrected 2019-05-12)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-05-12)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-05-12)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-05-12)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-05-12)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2019-05-12)
   • 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 2019-05-12)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-05-12)
   • 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 2019-05-12)