Inspection Results » Wrangell Medical Center Long Term Care

Health Inspection on April 30, 2018 ^[1]

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

   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-06-22)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-06-22)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-06-22)
   • Provide and implement an infection prevention and control program. (Corrected 2018-06-22)
   • Implement a program that monitors antibiotic use. (Corrected 2018-06-22)

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

   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-06-22)

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

   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-06-22)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-06-22)
   • Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (Corrected 2018-06-22)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-06-22)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-06-22)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-06-22)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-06-22)
   • Ensure a qualified health professional conducts resident assessments. (Corrected 2018-06-22)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-06-22)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-06-22)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-06-22)
   • 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. (Corrected 2018-06-22)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-06-22)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-06-22)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-06-22)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-06-22)

4. Widespread: No actual harm with potential for minimal harm

   • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2018-06-22)
   • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-06-22)