Inspection Results » Cambridge North Healthcare Center

Health Inspection on October 29, 2018 ^[1]

1. Pattern: Immediate jeopardy to the resident health or safety

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-12-08)

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

   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-12-08)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-12-08)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-12-08)
   • Provide and implement an infection prevention and control program. (Corrected 2018-12-08)

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

   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-12-08)
   • 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 2018-12-08)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-12-08)

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

   • 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 2018-12-08)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-12-08)
   • Provide appropriate foot care. (Corrected 2018-12-08)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-12-08)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2018-12-08)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-12-08)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-12-08)
   • 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 2018-12-08)
   • Respond appropriately to all alleged violations. (Corrected 2018-12-08)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-12-08)