Inspection Results » Washington Center for Comprehe

Health Inspection on January 15, 2019 ^[1]

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

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-02-22)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2019-02-22)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-02-22)
   • 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 2019-02-22)
   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2019-02-22)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-02-22)
   • Respond appropriately to all alleged violations. (Corrected 2019-02-22)
   • 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 2019-02-22)
   • 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 2019-02-22)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-02-22)

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

   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-02-22)
   • 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 2019-02-22)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-02-22)
   • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Corrected 2019-02-22)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-02-22)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-02-22)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-02-22)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-02-22)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-22)
   • 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 2019-02-22)
   • 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 2019-02-22)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2019-02-22)
   • Provide and implement an infection prevention and control program. (Corrected 2019-02-22)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2019-02-22)