Inspection Results » Advanced Post Acute

  1. Health Inspection on July 20, 2018 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-08-28)
      • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-08-28)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-08-28)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-28)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-08-28)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-08-28)
      • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-08-28)
      • 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 2018-08-28)
      • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-08-28)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-08-28)
      • Implement a program that monitors antibiotic use. (Corrected 2018-08-28)
      • Provide appropriate foot care. (Corrected 2018-08-28)
      • 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 2018-08-28)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-08-28)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2018-08-28)
      • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-08-28)
      • Provide or obtain dental services for each resident. (Corrected 2018-08-28)
      • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-08-28)
      • 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 2018-08-28)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-08-28)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-08-28)
      • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-08-28)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-08-28)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-28)
      • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-08-28)
      • Respond appropriately to all alleged violations. (Corrected 2018-08-28)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-08-28)

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