Inspection Results » Serenity Care and Rehab

Health Inspection on July 5, 2018 ^[1]

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

   • Dispose of garbage and refuse properly. (Corrected 2018-08-03)

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

   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-08-03)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-08-03)

3. 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 2018-08-03)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-08-03)
   • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Corrected 2018-08-03)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-08-03)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-08-03)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-08-03)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-08-03)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-08-03)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-08-03)
   • 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 2018-08-03)