Inspection Results » Cristwood Nursing and Rehabilitation

Health Inspection on June 21, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • 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 2018-08-05)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-08-05)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-08-05)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-08-05)
   • 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 2018-08-05)

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

   • 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 2018-08-05)
   • Provide activities to meet all resident's needs. (Corrected 2018-08-05)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-08-05)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-05)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-08-05)

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

   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-08-05)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-08-05)
   • 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 2018-08-05)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-08-05)
   • 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 2018-08-05)
   • 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 2018-08-05)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-08-05)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-08-05)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-08-05)
   • Provide and implement an infection prevention and control program. (Corrected 2018-08-05)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-05)

4. Widespread: No actual harm with potential for minimal harm

   • 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 2018-08-05)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-08-05)