Inspection Results » Queen Anne Healthcare

Health Inspection on March 20, 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 2018-05-29)

2. Isolated: Actual 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 2018-04-17)

3. 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 2018-04-17)

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

   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-04-17)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-04-17)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-04-17)

5. Isolated: 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 2018-04-17)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-04-17)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-04-17)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-04-17)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-04-17)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-04-17)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-04-17)
   • Provide or obtain dental services for each resident. (Corrected 2018-04-17)
   • 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 2018-04-17)
   • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Corrected 2018-04-17)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-04-17)