Inspection Results » Rehabilitation Center of Des Moines

Health Inspection on March 5, 2018 ^[1]

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

   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2018-03-06)

2. Widespread: 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 2018-03-23)

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

   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-03-23)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-03-23)
   • Provide and implement an infection prevention and control program. (Corrected 2018-03-23)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-03-23)

4. Isolated: No actual harm with potential for more than minimal 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 2018-03-23)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-03-23)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-03-23)
   • Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. (Corrected 2018-03-23)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-03-23)

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

   • 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 2018-03-23)