| 56 |
DAMAS HOSPITAL SNF |
405023 |
2213 PONCE BY PASS |
PONCE |
PR |
717 |
2017-05-25 |
490 |
C |
1 |
1 |
NJQB11 |
> Based on a standard and extended FOSS survey for recertification, complaint investigation PR 598, observation, interviews, policies and procedures, and record review performed on 5/22, 5/23, 5/24, and 5/25/17, it was determine that the facility failed to ensure that the facility is administered in a manner that enabled each resident to attain or maintain their highest practicable well-being for all residents.(R#1 to R#13) Findings include: 1. Deficiencies in Resident Behavior and Facility Practice, Quality of Life, and Quality of Care were identified on survey procedures on 5/22, 5/23, 5/24, and 5/25/17 and were defined as substandard quality of care. 2. During standard and extended FOSS survey for recertification, complaint investigation PR 598 perform on 5/22, 5/23, 5/24, and 5/25/17 to review compliance with all the tags within this section ( 483.70) deficiencies were found in the following tags: F 492- Compliance with federal, state and local laws and professional standards. F 514- Clinical records F 518- Emergency procedures 3. Evidence that facility governing body ensures that facility complies with all Administration requirements established in State Operations Manual Appendix PP for Long Term Care Facilities was not provided. 4. The facility failed to be aware of deficiencies in the areas of Resident Behavior and Facility Practices, Quality of Life, Quality of Care, Dietary Services, and Administration, the Administrator failed to take effective steps to prevent and correct these deficiencies and assure that each resident received the care they needed. 5. The findings of the survey conducted on 5/22, 5/23, 5/24, and 5/25/17 revealed Actual Harm and Substandard Quality of Care in Quality of life and Resident Behavior and Facility Practices. 6. Observation, interviews, and record review during the survey of 5/22, 5/23, 5/24, and 5/25/17 revealed that residents sustained actual harm when care was not provided as needed. Substandard quality of care had the potential to affect all residents relative to the development and implementation of abuse/neglect policies. (Cross reference: Tag F226, F309, and F371) 7. Deficiencies were identified in the areas of Resident Behavior and Facility Practices, Quality of Life, Quality of Care, Dietary Services, Pharmacy Services, Infection Control, Physical Environment, and Administration. (Cross reference: F226, F241, F254, F309, F371, F441, F455, F465, F492, F514, and F518). |
2020-09-01 |