Inspection Results » Colville Tribal Convalescent C

Health Inspection on October 10, 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 2019-01-18)

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

   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2018-11-15)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-11-15)

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

   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-11-15)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-11-15)

4. Isolated: 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 2018-11-15)
   • Respond appropriately to all alleged violations. (Corrected 2018-11-15)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-11-15)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-15)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-11-15)
   • Provide and implement an infection prevention and control program. (Corrected 2018-11-15)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-11-15)
   • Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. (Corrected 2018-11-15)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-11-15)

5. Pattern: No actual harm with potential for minimal harm

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-11-15)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-11-15)