Inspection Results » Cambria Care Center

Health Inspection on April 20, 2018 ^[1]

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

   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-06-05)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-06-05)
   • Provide and implement an infection prevention and control program. (Corrected 2018-06-05)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-06-05)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-06-05)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-06-05)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-06-05)

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

   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-06-05)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-06-05)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-06-05)
   • Respond appropriately to all alleged violations. (Corrected 2018-06-05)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-06-05)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-06-05)
   • 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 2018-06-05)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-06-05)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-06-05)
   • 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 2018-06-05)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-06-05)
   • 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 2018-06-05)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-06-05)

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

   • Post nurse staffing information every day. (Corrected 2018-06-05)

4. Pattern: No actual harm with potential for minimal harm

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-06-05)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-06-05)