Inspection Results » Avalon West Health & Rehabilitation

Health Inspection on September 13, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-11-08)

2. 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 2018-11-08)

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

   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-11-08)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-11-08)
   • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (Corrected 2018-11-08)
   • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Corrected 2018-11-08)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-11-08)
   • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Corrected 2018-11-08)
   • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2018-11-08)
   • 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 2018-11-08)

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

   • Provide and implement an infection prevention and control program. (Corrected 2018-11-08)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-11-08)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-11-08)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-11-08)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-11-08)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-11-08)
   • 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 2018-11-08)
   • 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 2018-11-08)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-11-08)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-11-08)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-08)