Inspection Results » The Oaks at Timberline

Health Inspection on September 12, 2018 ^[1]

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

   • Implement a program that monitors antibiotic use. (Corrected 2018-10-24)
   • 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 2018-10-24)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-10-24)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-10-24)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-10-24)
   • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2018-10-24)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-24)
   • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-10-24)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-10-24)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-10-24)
   • Provide and implement an infection prevention and control program. (Corrected 2018-10-24)
   • 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 2018-10-24)

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

   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-10-24)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-10-24)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-10-24)
   • 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 2018-10-24)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-10-24)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-10-24)
   • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Corrected 2018-10-24)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-10-24)