Inspection Results » Careage of Whidbey

Health Inspection on February 14, 2019 ^[1]

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

   • Provide and implement an infection prevention and control program. (Corrected 2019-04-02)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2019-04-02)

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

   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-04-02)
   • Respond appropriately to all alleged violations. (Corrected 2019-04-02)
   • 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 2019-04-02)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-02)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2019-04-02)
   • Protect each resident from the wrongful use of the resident's belongings or money. (Corrected 2019-04-02)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-04-02)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-04-02)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-04-02)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2019-04-02)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2019-04-02)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-04-02)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-04-02)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-04-02)

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

   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-04-02)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2019-04-02)
   • 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 2019-04-02)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-04-02)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2019-04-02)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-04-02)
   • Ensure that residents are free from significant medication errors. (Corrected 2019-04-02)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-04-02)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2019-04-02)
   • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2019-04-02)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-04-02)
   • Provide activities to meet all resident's needs. (Corrected 2019-04-02)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-04-02)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-04-02)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-04-02)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-04-02)