Inspection Results » Gardens on University, The

  1. Health Inspection on November 19, 2018 [1]

    1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-12-23)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-23)
      • Provide or obtain dental services for each resident. (Corrected 2018-12-23)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-12-23)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-12-23)
      • Keep residents' personal and medical records private and confidential. (Corrected 2018-12-23)
      • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-12-23)
    2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-12-23)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-12-23)
      • 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 2018-12-23)
      • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-12-23)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-23)
      • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-12-23)
      • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-12-23)
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-01-23)
      • 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 2018-12-23)
      • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2018-12-23)
      • Ensure that residents are free from significant medication errors. (Corrected 2018-12-23)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-12-23)
      • 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 2018-12-23)
      • 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 2018-12-23)
      • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-12-23)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-12-23)
      • 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 2018-12-23)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-12-23)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html