Inspection Results » Premier Estates of West Point, LLC

Health Inspection on June 12, 2018 ^[1]

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

   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-10-03)

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

   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-10-03)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-07-27)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-10-03)

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

   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-07-27)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-07-27)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-10-03)
   • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Corrected 2018-07-27)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-03)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-07-29)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-07-27)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-07-27)
   • 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 2018-07-27)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-10-03)
   • Provide activities to meet all resident's needs. (Corrected 2018-07-27)
   • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Corrected 2018-07-27)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-10-03)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-10-03)
   • 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 2018-07-27)