Inspection Results » Sarah Brayton Nursing Care Center

Health Inspection on April 4, 2018 ^[1]

1. Isolated: Actual 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 2018-05-19)
   • 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 2018-05-19)

2. Widespread: 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 2018-05-19)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-05-19)
   • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2018-05-19)

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

   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-05-19)
   • 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 2018-05-19)
   • 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 2018-05-19)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-05-19)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-05-19)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-05-19)
   • Respond appropriately to all alleged violations. (Corrected 2018-05-19)
   • 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 2018-05-19)

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

   • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2018-05-19)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-05-19)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-05-19)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-05-19)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-05-19)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-05-19)
   • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Corrected 2018-05-19)