Inspection Results » Commander Nursing Center

  1. Health Inspection on July 31, 2018 [1]

    1. Widespread: Immediate jeopardy to the resident health or safety
      • Respond appropriately to all alleged violations. (Corrected 2018-09-07)
      • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-09-07)
      • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-09-07)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-09-07)
      • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-09-07)
    2. Pattern: Immediate jeopardy to the resident health or safety
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-09-07)
      • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-09-07)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-09-07)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-09-07)
    3. Isolated: Actual 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 2018-09-07)
    4. 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 2018-08-30)
    5. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide activities to meet all resident's needs. (Corrected 2018-09-07)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-07)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-09-07)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-09-07)
      • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2018-09-07)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-09-07)
      • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2018-09-07)
      • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-09-07)
      • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-09-07)
      • Observe each nurse aide's job performance and give regular training. (Corrected 2018-09-07)
    6. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Keep residents' personal and medical records private and confidential. (Corrected 2018-09-07)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-09-07)
      • 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 2018-09-07)
      • 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 2018-09-07)
      • Provide and implement an infection prevention and control program. (Corrected 2018-09-07)
      • Assess the resident when there is a significant change in condition (Corrected 2018-09-07)
      • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (Corrected 2018-09-07)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-09-07)
      • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (Corrected 2018-09-07)

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