Inspection Results » Cadia Rehabilitation Pike Creek

  1. Health Inspection on September 28, 2018 [1]

    1. Isolated: Immediate jeopardy to the resident health or safety
      • 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 2018-12-28)
      • Provide and implement an infection prevention and control program. (Corrected 2018-09-28)
    2. 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 2018-12-28)
    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 2018-12-28)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-28)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-12-28)
      • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-12-28)
    4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-12-28)
      • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-12-28)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-12-28)
      • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-12-28)
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-12-28)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-12-28)
      • Respond appropriately to all alleged violations. (Corrected 2018-12-28)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-12-28)
      • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-12-28)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-28)
      • Provide or obtain dental services for each resident. (Corrected 2018-12-28)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html