Physical Premise: The facility appears to be clean and well maintained. There are detailed lists of various cleaning schedules. Resident rooms are attractively decorated with personal effects. Furnishings appear appropriate to meet the needs of the residents. There is a record of monthly fire training/drills and emergency equipment has been serviced with in the last year. 72.0 hours of emergency supplies are available in the event of a disaster.
Policies and Procedures: In review of any of the required policies and procedures that have been revised, they appear to be appropriate and in compliance.
Staff Records: There is a list that shows all documentation that is kept on file. In review, it appears all required documentation is available. The Manager has a list of when staff evaluations are due which are completed annually.
Resident Records: In review of documentation for 1 resident, it is noted to include the following:
· TB/immunization status
· monthly weight
· Annual Dental professional visit(s)
· Health care consent (Consent to contact Dr. and/or call 911)
· Consent for release.
· Various risk assessments;
· List of personal belongings
Care/Supervision: In review of documentation for one resident, it includes the following, appears to be detailed, appropriate and has recently been reviewed/revised.
· Care plan
· Oral care plan
· Nutritional assessment
· Nutrition care plan.
· Activity/interest assessment (Personal profile package)
Nutrition: The following is noted:
· A Substitution list is available and appears to apply to same food
The monthly menu is posted and appears to meet the CFG including snacks.
· Food is appropriately stored
· Meals and more audits have been completed.
Medication: The following is noted:
· Medications are secured and appear to be stored appropriately. The pharmacist has inspected within the last year and there is a record MSAC meeting(s).
· There does not appear to by any expired medications
· Effect of PRN’s are documented
· Mars are maintained
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All items as per the above noted guide and not in the body of this report appear to be in compliance at the time of this inspection. |