Inspection Results » Senior Citizens Home

Health Inspection on September 28, 2018 ^[1]

1. Isolated: Immediate jeopardy to the resident health or safety

   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-11-02)

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-11-02)
   • 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 2018-11-02)

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

   • Provide and implement an infection prevention and control program. (Corrected 2018-11-02)

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

   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2018-11-02)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-02)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-11-02)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-11-02)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-11-02)
   • 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 2018-11-02)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-11-02)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-11-02)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-11-02)
   • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Corrected 2018-11-02)
   • Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. (Corrected 2018-11-02)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-11-02)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-11-02)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-11-02)

5. Widespread: No actual harm with potential for minimal harm

   • Post nurse staffing information every day. (Corrected 2018-11-02)