Inspection Results » Cherryvale Nursing and Rehabilitation Center

Health Inspection on October 31, 2018 ^[1]

1. 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 2018-11-30)

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

   • 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 2018-11-30)
   • 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 2018-11-30)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-11-30)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-11-30)
   • 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 2018-11-30)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-11-30)

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

   • 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 2018-11-30)
   • Provide activities to meet all resident's needs. (Corrected 2018-11-30)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-11-30)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-11-30)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-30)