Inspection Results » Beth Sholom Home of Virginia

  1. Health Inspection on March 14, 2019 [1]

    1. Pattern: 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 2019-04-28)
      • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-04-28)
      • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2019-04-28)
      • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2019-04-28)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-04-28)
      • Ensure meals and snacks are served at times in accordance with residentÂ’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedu (Corrected 2019-04-28)
    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 2019-04-28)
      • Respond appropriately to all alleged violations. (Corrected 2019-04-28)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-04-28)
      • 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 2019-04-28)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-04-28)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-04-28)
      • Observe each nurse aide's job performance and give regular training. (Corrected 2019-04-28)
      • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2019-04-28)
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-04-28)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-28)
      • Keep residents' personal and medical records private and confidential. (Corrected 2019-04-28)
      • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2019-04-28)
      • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-04-28)
      • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2019-04-28)
      • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-04-28)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-04-28)

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