Inspection Results » Advanced Post Acute

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)