Inspection Results » Delta Rehabilitation Center

Health Inspection on June 14, 2018 ^[1]

1. Pattern: Immediate jeopardy to the resident health or safety

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-07-27)

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

   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-07-27)
   • 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 2018-07-27)
   • Provide and implement an infection prevention and control program. (Corrected 2018-07-27)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-07-27)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-07-27)
   • 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 2018-07-27)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-07-27)
   • Have policies on smoking. (Corrected 2018-07-27)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-07-27)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2018-07-27)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-07-27)

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

   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-07-27)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-07-27)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-07-27)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-07-27)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-07-27)
   • 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 2018-07-27)
   • Respond appropriately to all alleged violations. (Corrected 2018-07-27)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-08-25)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-07-27)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-07-27)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-07-27)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-07-27)

4. Pattern: No actual harm with potential for minimal harm

   • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected 2018-07-27)
   • Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. (Corrected 2018-07-27)