Inspection Results » Heartwood Extended Healthcare

  1. Health Inspection on January 9, 2019 [1]

    1. 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 2019-02-22)
      • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-02-22)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-02-22)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-02-22)
      • Ensure medication error rates are not 5 percent or greater. (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)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-02-22)
      • Ensure each resident receives an accurate assessment. (Corrected 2019-02-22)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-02-22)
      • Provide or obtain dental services for each resident. (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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-22)
      • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2019-02-22)
      • 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 2019-02-22)
      • Provide special eating equipment and utensils for residents who need them and appropriate assistance. (Corrected 2019-02-22)
      • Provide and implement an infection prevention and control program. (Corrected 2019-02-22)
      • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (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)
      • 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)
      • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-02-22)
      • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-02-22)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html