Inspection Results » Bostonian Nursing Care & Rehabilitation Center, The

Health Inspection on October 30, 2018 ^[1]

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

   • 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 2018-12-12)
   • Provide activities to meet all resident's needs. (Corrected 2018-12-12)

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

   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-12-12)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-12-12)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-12)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-12-12)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-12-12)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-12-12)
   • Assure the security of all personal funds of residents deposited with the facility. (Corrected 2018-12-12)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-12-12)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-12-12)
   • 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 2018-12-12)
   • 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 2018-12-12)
   • Provide appropriate foot care. (Corrected 2018-12-12)