Inspection Results » Paramount Rehabilitation and Nursing

Health Inspection on April 5, 2019 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-05-10)

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

   • 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 2019-05-10)
   • 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 2019-05-10)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-05-10)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-05-10)
   • 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 2019-05-10)
   • Assure the security of all personal funds of residents deposited with the facility. (Corrected 2019-05-10)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-05-10)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2019-05-10)

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

   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-05-10)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-05-10)
   • 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 2019-05-10)
   • 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 2019-05-10)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-05-10)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-05-10)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-05-10)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-05-10)
   • Assess the resident when there is a significant change in condition (Corrected 2019-05-10)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-05-10)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2019-05-10)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-05-10)
   • 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 2019-05-10)