Inspection Results » Amberwood Gardens

Health Inspection on September 14, 2018 ^[1]

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

   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2018-10-13)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-10-13)
   • Provide and implement an infection prevention and control program. (Corrected 2018-10-13)
   • Keep all essential equipment working safely. (Corrected 2018-10-13)
   • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Corrected 2018-10-13)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-10-13)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-10-13)
   • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2018-10-13)
   • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Corrected 2018-10-13)

2. Isolated: 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 2018-10-13)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-10-13)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-10-13)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-10-13)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-10-13)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2018-10-13)
   • Provide activities to meet all resident's needs. (Corrected 2018-10-13)
   • 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 2018-10-13)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-10-13)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-10-13)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-10-13)

3. Pattern: No actual harm with potential for minimal harm

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-10-13)