Inspection Results » Sea Mar Community Care Center

Health Inspection on May 14, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • 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 2018-07-23)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-07-23)

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

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-07-23)
   • 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 2018-09-05)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-07-23)
   • Provide or obtain dental services for each resident. (Corrected 2018-07-23)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-09-05)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-07-23)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-07-23)
   • Provide and implement an infection prevention and control program. (Corrected 2018-07-23)
   • 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 2018-07-23)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-07-23)

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

   • 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 2018-07-23)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-07-23)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-07-23)
   • Assess the resident when there is a significant change in condition (Corrected 2018-07-23)
   • 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 2018-07-23)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-09-05)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-09-05)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-05)
   • Provide or get specialized rehabilitative services as required for a resident. (Corrected 2018-07-23)
   • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (Corrected 2018-07-23)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-07-23)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-07-23)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-07-23)
   • Implement a program that monitors antibiotic use. (Corrected 2018-07-23)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-07-23)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-07-23)