Inspection Results » Bay at Waters Edge Health and Rehabilitation (The)

Health Inspection on February 27, 2018 ^[1]

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-03-26)

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

   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-03-26)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-03-26)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-03-26)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-03-26)

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

   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-03-26)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-03-26)
   • 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 2018-03-26)
   • 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 2018-03-26)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-03-26)
   • 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 2018-03-26)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-03-26)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-03-26)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-03-26)
   • Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (Corrected 2018-03-26)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-03-26)
   • 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 2018-03-26)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-03-26)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-03-26)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-03-26)
   • Respond appropriately to all alleged violations. (Corrected 2018-03-26)
   • Provide and implement an infection prevention and control program. (Corrected 2018-03-26)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-03-26)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2018-03-26)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-03-26)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-03-26)
   • 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 2018-03-26)