Inspection Results » Broad Acres Health and Rehab

Health Inspection on June 8, 2018 ^[1]

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

   • 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 2018-07-31)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-07-31)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-07-31)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-07-31)
   • Provide or obtain dental services for each resident. (Corrected 2018-07-31)

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

   • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne (Corrected 2018-07-31)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-07-31)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-07-31)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-07-31)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-07-31)
   • Provide routine and 24-hour emergency dental care for each resident. (Corrected 2018-07-31)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-07-31)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-07-31)
   • Provide and implement an infection prevention and control program. (Corrected 2018-07-31)
   • Respond appropriately to all alleged violations. (Corrected 2018-07-31)
   • 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 2018-07-31)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-07-31)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-07-31)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-07-31)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-07-31)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-07-31)

3. 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 2018-07-31)