Inspection Results » Bay at Maple Ridge Health and Rehabilitation (The

  1. Health Inspection on April 25, 2018 [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 2018-05-18)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2018-05-18)
      • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Corrected 2018-05-18)
      • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-05-18)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-05-18)
      • Respond appropriately to all alleged violations. (Corrected 2018-05-18)
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-05-18)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-05-18)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-05-18)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-05-18)
      • Give the resident's representative the ability to exercise the resident's rights. (Corrected 2018-05-18)
      • Protect each resident from the wrongful use of the resident's belongings or money. (Corrected 2018-05-18)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-05-18)
      • 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 2018-05-18)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-05-18)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-05-18)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-05-18)
      • 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 2018-05-18)
      • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-05-18)
    4. Widespread: No actual harm with potential for minimal harm
      • Post nurse staffing information every day. (Corrected 2018-05-18)

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