Inspection Results » Heartwood Extended Healthcare

Health Inspection on January 9, 2019 ^[1]

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

   • 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 2019-02-22)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-02-22)

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

   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-02-22)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-02-22)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-02-22)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-22)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-02-22)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-02-22)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-02-22)
   • Provide or obtain dental services for each resident. (Corrected 2019-02-22)
   • 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 2019-02-22)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-22)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2019-02-22)
   • 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 2019-02-22)
   • Provide special eating equipment and utensils for residents who need them and appropriate assistance. (Corrected 2019-02-22)
   • Provide and implement an infection prevention and control program. (Corrected 2019-02-22)
   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2019-02-22)
   • 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 2019-02-22)
   • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Corrected 2019-02-22)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-02-22)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-02-22)