Inspection Results » Accordius Health at Lexington

  1. Health Inspection on September 13, 2018 [1]

    1. Pattern: 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 2018-10-10)
      • 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 2018-10-10)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-10-10)
      • 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 2018-10-10)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-10-10)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-10-10)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-10-10)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-10-10)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-10-10)
      • Implement a program that monitors antibiotic use. (Corrected 2018-10-10)
      • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-10-10)
      • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2018-10-10)
    3. Widespread: No actual harm with potential for minimal harm
      • Post nurse staffing information every day. (Corrected 2018-10-10)

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