Inspection Results » Spanish Trails Rehabilitation Suites

Health Inspection on October 3, 2018 ^[1]

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

   • 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 2018-11-01)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-11-01)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2018-11-01)
   • Provide and implement an infection prevention and control program. (Corrected 2018-11-01)

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

   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-11-01)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-11-01)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-11-01)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-11-01)
   • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2018-11-01)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-11-01)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-11-01)
   • 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 2018-11-01)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-11-01)
   • Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. (Corrected 2018-11-01)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-11-01)

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

   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-11-01)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-11-01)