Inspection Results » Royal Sandalwood Center

Health Inspection on December 20, 2017 ^[1]

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-02-02)

2. Pattern: 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 2017-12-29)
   • Implement a program that monitors antibiotic use. (Corrected 2017-12-29)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2017-12-29)
   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-01-25)
   • 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 2018-01-22)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-01-19)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2017-12-29)

3. Isolated: 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 2017-12-28)
   • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Corrected 2017-12-29)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2017-12-29)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2017-12-29)
   • 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 2017-12-26)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2017-12-22)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2017-12-29)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-01-22)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2017-12-28)
   • 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 2018-01-11)
   • Ensure each resident receives an accurate assessment. (Corrected 2017-12-28)
   • Respond appropriately to all alleged violations. (Corrected 2018-01-30)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2017-12-29)

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

   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-01-12)