Inspection Results » Gardens on University, The

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)