Inspection Results » The Grand Rehabilitation and Nursing at Guilderland

Health Inspection on February 22, 2018 ^[1]

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

   • 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 2018-04-19)
   • Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (Corrected 2018-04-19)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-04-19)
   • 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 2018-04-19)
   • 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 2018-04-19)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-04-19)
   • Provide and implement an infection prevention and control program. (Corrected 2018-04-19)
   • Keep all essential equipment working safely. (Corrected 2018-04-19)
   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2018-04-19)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-04-19)

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

   • Ensure that residents are free from significant medication errors. (Corrected 2018-04-19)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-04-19)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-04-19)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-04-19)
   • 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 2018-04-19)