Inspection Results » Woodruff Convalescent Center

Health Inspection on July 28, 2018 ^[1]

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

   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-09-04)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-09-04)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-09-04)
   • Provide and implement an infection prevention and control program. (Corrected 2018-09-04)
   • 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 2018-09-04)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-09-04)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-09-04)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-09-04)
   • Ensure a qualified health professional conducts resident assessments. (Corrected 2018-09-04)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-09-04)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-09-04)
   • Ensure meals and snacks are served at times in accordance with residentÂ’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedu (Corrected 2018-09-04)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-09-04)

2. Isolated: 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 2018-09-04)
   • Hire a qualified full-time social worker in a facility with more than 120 beds. (Corrected 2018-09-04)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-09-04)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2018-09-04)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-09-04)
   • 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 2018-09-04)