Resident Complaints » Hearthstone Nursing and Rehabilitation Center

Health Inspection on April 23, 2019 ^[1]

1. Isolated: Immediate jeopardy to the resident health or safety

   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-05-23)
   • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentÂ’s advance directives. (Corrected 2019-05-23)

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

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-06-11)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-06-11)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-06-11)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-06-11)

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

   • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Corrected 2019-06-11)
   • Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. (Corrected 2019-06-11)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2019-06-11)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2019-06-11)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2019-06-11)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-06-11)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-06-11)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-06-11)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-06-11)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-06-11)
   • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (Corrected 2019-06-11)
   • 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 2019-06-11)
   • Provide activities to meet all resident's needs. (Corrected 2019-06-11)