Inspection Results » Battlefield Park Healthcare Center

Health Inspection on March 29, 2018 ^[1]

1. Isolated: Immediate jeopardy to the resident health or safety

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-05-10)

2. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-05-10)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-05-10)

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

   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-05-10)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-05-10)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-05-10)

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

   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-05-10)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-05-10)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-05-23)
   • Respond appropriately to all alleged violations. (Corrected 2018-05-10)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-05-10)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-05-10)
   • Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (Corrected 2018-05-10)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-05-10)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-05-10)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-05-10)

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

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-05-10)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-05-10)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-05-10)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-05-10)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-05-10)
   • 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 2018-05-10)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-05-10)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-05-10)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-05-10)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-05-10)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-05-23)
   • 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 2018-05-10)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-05-10)
   • 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 2018-05-10)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-05-10)