Inspection Results » Senior Care of Windcrest

  1. Health Inspection on February 8, 2019 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (Corrected 2019-02-15)
      • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Corrected 2019-02-15)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-02-09)
      • 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 2019-02-28)
      • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Corrected 2019-02-28)
      • 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 2019-02-28)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-03-11)
      • 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 2019-02-15)
      • Honor each resident's preferences, choices, values and beliefs. (Corrected 2019-02-28)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-02-09)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-02-28)
      • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2019-02-28)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-02-28)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-02-28)
      • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2019-03-15)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-03-15)
      • Ensure each resident receives an accurate assessment. (Corrected 2019-03-15)
      • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-03-15)
      • Provide or obtain dental services for each resident. (Corrected 2019-02-28)
      • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2019-02-15)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-02-28)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-03-15)
      • Provide and implement an infection prevention and control program. (Corrected 2019-02-09)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-02-09)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-28)
      • 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 2019-02-09)
      • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-02-28)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-02-28)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2019-02-15)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-02-15)
    4. Widespread: No actual harm with potential for minimal harm
      • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2019-03-11)

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