The deficiency report is established based on the Pontiac Nursing Home, located in the east of River Road Oswego, New York City. It presents a detailed analysis of the results of an assessment made to establish a summary of statement deficiencies that were evident in the nursing home. The analysis of existing and potential deficiencies offers the healthcare center an opportunity to strengthen its weaknesses by improving the most egregious deficiency indicated by the report. The report is provided in a two-fold manner in that, besides the establishment of deficiencies. To effectively address Pontiac Nursing Home deficiencies, each plan of action is directed towards a specific deficiency and explains a detailed action applicable to the particular deficiency reported. The report provides a general overview of various aspects of the deficiencies and action plans; besides, the questions discussed below also provide substantial opinions and ideas related to the subject matter, Pontiac Nursing Home deficiencies, and a valid plan of action. Question 1. Which deficiency was the most egregious in nature, in your opinion and why?
Among the several deficiencies identified in this report, the most egregious and shocking is the failure to meet quality care standards and fundamentals that ought to be applied at all treatment facilities providing healthcare services to residents. Quality of care is a fundamental principle that applies in all healthcare settings; healthcare providers are tasked with ensuring high quality of care and comprehensive assessment of patients. Pontiac Nursing Home must ensure the provision of quality healthcare services to every resident and care that goes following the recognized professional standards of practice. Wilkinson et al. (2019), argues that different departments in nursing homes should have a person-centred care plan for maximum cooperation between the residents and care providers who often have several patients to attend.
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Quality Care was not met according to one of the surveys carried out in the facility. The survey identified that the facility failed to adhere to the required professional standards of patient care in two of six patients exanimated for quality care experiences. In the first patient, professional standards did not apply as he was not accorded with timely care due to a change of condition during their stay in the healthcare facility. On the other hand, the second patient had also experienced an emergency decline in the healthcare providers' condition to address promptly. In general, both patients were not provided a timely response for their emergencies, resulting in a violation of the professional standards of quality care.
Question 2. If you were the manager on the unit where the most egregious deficiency occurred, what would you have done differently to correct/prevent the issue from occurring again. This must be different than what the plan of correction already states.
As the manager of Pontiac Nursing Home healthcare facility, the above-described incidence of eluding professional standards of quality care delivery would have been avoided using the following plan of action;
First, patients' change in condition is a huge concern for healthcare professionals and should be treated immediately due to its severe consequences, including fatality. The inspection report carried out on Pontiac Nursing Home indicated that the healthcare providers failed to adhere to professional standards of quality care, thus creating room for healthcare setting incompetence. However, the care providers should have ensured clear communication channels between nurses changing shifts and creating good records that show every change concerning a specific patient ( Messinger-Rapport, 2004 ). Effective communication includes being in touch with the patients in the healthcare facility to ensure good rapport and for residents to feel more secure in the care facility, unlike their homes. I would ensure that care services offered to patients are directly related to their current conditions; this prompts a quicker response from medical professionals during emergency incidents that require rapid response.
Secondly, it is my responsibility as the manager to ensure the smooth flow of care delivery to patients and cross-check on what sectors need improvement. Consequently, my primary focus would be providing the healthcare providers with a good and safe working environment to ensure they are motivated to serve residents in the right and timely manner, especially during emergencies like an immediate change of conditions ( Boscart et al. 2018 ). Conducting a medical record review for patients is another strategy that I would use to ensure no discrepancies are hidden within the facility's health provision records.
Question 3. What was your impression after reading this survey report on the types of overall deficiencies cited? Did you feel the surveyor was fair in writing the deficient practices? why or why not?
After going through the surveyor’s report, I have some significant concerns regarding the surveyor's writing of deficient practices. The side of deficiencies cited is well-written and represented the surveyor’s fair opinion on the facilities practices and deficiencies. The deficiencies cited are explained with relevance to specific surveys, thus shows the surveyors fairness in identifying available discrepancies. Nevertheless, the surveyor is not fair enough when making relevant suggestions on defiant practices that include action plans respective for each deficiency identified. As seen in the report, some crucial deficiencies were not provided with action plans, thus rendering the surveyors' actions on the provision of action plan unfair. The surveyor should have covered every deficiency with a respective plan to ensure fairness; this would have also promoted the report's usefulness to the Pontiac Nursing Home.
Question 4. How did reading this survey report help you to become a better nurse in practice? Please be very specific and share at least two ways this assignment will help you to improve your nursing practice.
This report provides a lot of informative information regarding nursing practices and professional standards of quality care. After reading the report, I have developed an in-depth understanding of essential prerequisites and services offered at Nursing Home facilities, the professional standards expected from nurse practitioners working at the facility, and the importance of keeping healthcare operations in recorded formats nurse shifts and duty allocation. The report provided useful experience for my nursing practice in the following ways;
I managed to understand the essentiality of emergency services and understanding requirements as per the professional care standards. On the emergency of services, I am more concerned about taking emergency services seriously and promptly ensuring the emergency necessities. On the other hand, as a nurse practitioner, professional standards are vital in promoting efficient care delivery and ensuring nursing home residents enjoy maximum comfort.
In summary, the report is an informative text that explains various procedures and processes that influence care delivery in nursing homes. Significant deficiencies that primarily exist in nursing homes are explicitly covered and defined; some matched the individual plan of action that nursing homes can embrace for the success of operations and care delivery processes.
References
Boscart, V. M., Sidani, S., Poss, J., Davey, M., d'Avernas, J., Brown, P., Heckman, G., Ploeg, J., & Costa, A. P. (2018). The associations between staffing hours and quality of care indicators in long-term care. BMC health services research , 18 (1), 750. https://doi.org/10.1186/s12913-018-3552-5
Messinger-Rapport B. J. (2004). Evidence-based medicine: is it relevant to long-term care? Journal of the American Medical Directors Association , 5 (5), 328–332.
Wilkinson, A., Haroun, V., Wong, T., Cooper, N., & Chignell, M. (2019). Overall Quality Performance of Long-Term Care Homes in Ontario. Healthcare quarterly (Toronto, Ont.) , 22 (2), 55–62. https://doi.org/10.12927/hcq.2019.25903
