Inspection Results » Shangri La Rehab & Living Center

Health Inspection on August 31, 2018 ^[1]

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

   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-10-05)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-10-05)
   • Provide and implement an infection prevention and control program. (Corrected 2018-10-05)
   • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentÂ’s advance directives. (Corrected 2018-10-05)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-10-05)
   • Ensure the activities program is directed by a qualified professional. (Corrected 2018-10-05)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-10-05)
   • 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 2018-10-05)
   • Provide activities to meet all resident's needs. (Corrected 2018-10-05)
   • 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 2018-10-05)

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

   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-10-05)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-05)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-10-05)
   • 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 2018-10-05)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-10-05)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-10-05)
   • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2018-10-05)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-10-05)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-10-05)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-10-05)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-10-05)
   • Assess the resident when there is a significant change in condition (Corrected 2018-10-05)