Inspection Results » Good Samaritan Society - Manzano Del Sol

  1. Health Inspection on April 30, 2018 [1]

    1. Widespread: Immediate jeopardy to the resident health or safety
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-05-14)
    2. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2018-06-01)
      • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-06-01)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-06-01)
    3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (Corrected 2018-06-01)
      • Honor the resident's right to manage his or her financial affairs. (Corrected 2018-06-01)
      • Provide and implement an infection prevention and control program. (Corrected 2018-06-01)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-06-01)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-06-01)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-06-01)
    4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-06-01)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-06-01)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-06-01)
      • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-06-01)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-06-01)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-06-01)
      • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-06-01)
      • 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 2018-06-01)
      • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-06-01)
    5. Widespread: No actual harm with potential for minimal harm
      • 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 2018-06-01)

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