Inspection Results » Deanwood Rehabilitation and Wellness Center

Health Inspection on March 26, 2019 ^[1]

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-05-17)
   • Provide and implement an infection prevention and control program. (Corrected 2019-05-17)
   • Keep all essential equipment working safely. (Corrected 2019-05-17)

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

   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-05-17)
   • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (Corrected 2019-05-17)
   • Keep residents' personal and medical records private and confidential. (Corrected 2019-05-17)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2019-05-17)
   • Respond appropriately to all alleged violations. (Corrected 2019-05-17)
   • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2019-05-17)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-05-17)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-05-17)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-05-17)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-05-17)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-05-17)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-05-17)
   • Provide activities to meet all resident's needs. (Corrected 2019-05-17)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-05-17)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-05-17)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-05-17)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2019-05-17)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-05-17)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-05-17)
   • 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 2019-05-17)

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

   • 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 2019-05-17)