Inspection Results » Royal Sandalwood Center

  1. 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)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html