Inspection Results » Avalon Care Center at Northpointe

  1. Health Inspection on March 30, 2018 [1]

    1. Isolated: Immediate jeopardy to the resident health or safety
      • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-05-14)
    2. Isolated: Actual harm that is not immediate jeopardy
      • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-05-14)
    3. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-05-14)
    4. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-05-14)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-05-14)
      • 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 2018-05-14)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-05-14)
      • Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. (Corrected 2018-05-14)
      • 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 2018-05-14)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-05-14)
      • Observe each nurse aide's job performance and give regular training. (Corrected 2018-05-14)
      • 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 2018-05-14)
      • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-05-14)
      • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-05-14)
      • Implement a program that monitors antibiotic use. (Corrected 2018-05-14)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-05-14)
      • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-05-14)
      • Ensure that residents are free from significant medication errors. (Corrected 2018-05-14)
      • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-05-14)
    5. Widespread: No actual harm with potential for minimal harm
      • 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 2018-05-14)

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