Inspection Results » Tomah Nursing and Rehab

  1. Health Inspection on February 22, 2018 [1]

    1. Pattern: Actual harm that is not immediate jeopardy
      • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-03-27)
    2. Isolated: Actual harm that is not immediate jeopardy
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-03-27)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-03-27)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-03-27)
      • 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 2018-03-27)
    3. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-03-27)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-03-27)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-03-27)
      • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-03-27)
    4. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Respond appropriately to all alleged violations. (Corrected 2018-03-27)
      • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2018-03-27)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-03-27)
    5. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Assess the resident when there is a significant change in condition (Corrected 2018-03-27)
      • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-03-27)
      • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-03-27)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-03-27)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-03-27)
      • Provide and implement an infection prevention and control program. (Corrected 2018-03-27)
      • 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 2018-03-27)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-03-27)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-03-27)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-03-27)

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