Inspection Results » Pheasant Ridge Nursing & Rehab Center

Health Inspection on December 14, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2019-02-13)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-04-03)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-02-13)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-04-03)

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 2019-04-03)
   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2019-02-13)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-05-02)

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

   • Ensure that residents are free from significant medication errors. (Corrected 2019-05-02)
   • Provide and implement an infection prevention and control program. (Corrected 2019-04-03)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-02-13)
   • 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 2019-02-13)

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

   • Prepare residents for a safe transfer or discharge from the nursing home. (Corrected 2019-02-13)
   • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (Corrected 2019-02-13)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-02-13)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-02-13)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-02-13)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-13)
   • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Corrected 2019-02-13)
   • 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 2019-02-13)
   • 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 2019-02-13)
   • 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 2019-04-03)
   • 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 2019-02-13)
   • Respond appropriately to all alleged violations. (Corrected 2019-02-13)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-13)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-05-02)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-05-02)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-04-03)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-04-03)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-02-13)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-02-13)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-02-13)