Inspection Results » Alderwood Manor

Health Inspection on August 10, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • 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 2018-09-13)

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

   • Implement a program that monitors antibiotic use. (Corrected 2018-09-13)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-09-13)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-09-13)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-09-13)
   • 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 2018-09-13)

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

   • Ensure each resident receives an accurate assessment. (Corrected 2018-09-13)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-09-13)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-09-13)
   • 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 2018-09-13)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-09-13)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-09-13)
   • 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 2018-09-13)
   • Assess the resident when there is a significant change in condition (Corrected 2018-09-13)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-13)
   • Provide or obtain dental services for each resident. (Corrected 2018-09-13)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-09-13)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-09-13)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-09-13)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-09-13)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-09-13)
   • Respond appropriately to all alleged violations. (Corrected 2018-09-13)

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

   • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-09-13)