Inspection Results » Sentara Nursing Center Norfolk

Health Inspection on June 28, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-08-12)
   • 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 2018-08-12)

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

   • Implement a program that monitors antibiotic use. (Corrected 2018-08-12)
   • Provide and implement an infection prevention and control program. (Corrected 2018-08-12)

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

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-08-12)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-08-12)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-08-12)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-08-12)
   • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-08-12)

4. Isolated: 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 2018-08-12)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-08-12)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-08-12)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-12)
   • 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 2018-08-12)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-08-12)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-12)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-08-12)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-08-12)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-08-12)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-08-12)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. (Corrected 2018-08-12)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-08-12)
   • 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 2018-08-12)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-08-12)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-08-12)