Inspection Results » Atlantic Shores Rehabilitation & Health Center

Health Inspection on September 28, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-11-27)

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

   • Provide and implement an infection prevention and control program. (Corrected 2018-11-27)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-11-27)

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

   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-11-27)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-11-27)

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

   • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2018-11-27)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-10-29)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-11-27)
   • 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 2018-11-27)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-11-27)
   • Respond appropriately to all alleged violations. (Corrected 2018-11-27)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-27)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-11-27)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-11-27)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-11-27)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-11-27)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-27)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-11-27)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-11-27)
   • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2018-11-27)
   • Provide or obtain dental services for each resident. (Corrected 2018-11-27)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-11-27)
   • 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 2018-11-27)

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

   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-11-27)
   • 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 2018-11-27)