WILLOW BROOKE CT SKILLED CARE CTR AT HERON POINT, CHESTERTOWN, MD — Violations & Inspection Reports

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.

Respond appropriately to all alleged violations.

Ensure medication error rates are not 5 percent or greater.

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

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 necessary and PRN use is limited.

Assure that each resident’s assessment is updated at least once every 3 months.

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 necessary and PRN use is limited.

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Provide medically-related social services to help each resident achieve the highest possible quality of life.

PASARR screening for Mental disorders or Intellectual Disabilities

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Provide safe, appropriate pain management for a resident who requires such services.

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Provide routine and 24-hour emergency dental care for each resident.

Give the resident's representative the ability to exercise the resident's rights.