Inspection Results » Villa at Bradley Estates (The)

Health Inspection on December 3, 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 2019-01-02)

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

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-01-02)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-01-02)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-01-02)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-01-02)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-01-02)

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

   • 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 2019-01-02)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-01-02)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2019-01-02)
   • Provide care by qualified persons according to each resident's written plan of care. (Corrected 2019-01-02)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-01-02)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-01-02)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-01-02)
   • 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 2019-01-02)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2019-01-02)