Inspection Results » Agawam Healthcare

Health Inspection on September 4, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-11-27)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-11-27)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-10-19)

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

   • Provide activities to meet all resident's needs. (Corrected 2018-10-19)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-11-27)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-27)
   • Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (Corrected 2018-10-19)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-11-27)

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

   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2018-10-19)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-10-19)
   • 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 2018-10-19)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-10-19)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-10-19)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-10-19)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-11-27)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-10-19)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-11-27)
   • Respond appropriately to all alleged violations. (Corrected 2018-11-27)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-11-27)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-11-27)
   • Provide appropriate foot care. (Corrected 2018-10-19)
   • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2018-10-19)
   • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Corrected 2018-10-19)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-10-19)
   • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2018-11-27)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-10-19)
   • Provide and implement an infection prevention and control program. (Corrected 2018-10-19)
   • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Corrected 2018-10-19)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-10-19)

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

   • 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 2018-10-19)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-10-19)