Inspection Results » Watertown Convalarium, Inc

Health Inspection on November 29, 2018 ^[1]

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

   • Provide and implement an infection prevention and control program. (Corrected 2019-01-31)

2. Isolated: Actual 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 2019-01-31)

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

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-01-31)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2019-01-31)

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

   • Assist a resident in gaining access to vision and hearing services. (Corrected 2019-01-31)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2019-01-31)
   • Provide activities to meet all resident's needs. (Corrected 2019-01-31)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-01-31)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-01-31)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-01-15)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-01-31)

5. Widespread: No actual harm with potential for minimal harm

   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2019-01-31)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-01-31)

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

   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2019-01-15)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2019-01-15)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2019-01-31)