Inspection Results » Mckay Healthcare & Rehab Center

Health Inspection on January 17, 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 2019-03-02)

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

   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-03-02)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-03-02)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-03-02)

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

   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2019-03-02)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2019-03-02)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-03-02)
   • 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 2019-03-02)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-03-02)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2019-03-02)
   • 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 2019-03-02)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-03-02)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-03-02)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-03-02)

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

   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-03-02)