Inspection Results » Catalina Island Medical Center Distinct Part Skilled Nursing Facility

Health Inspection on March 28, 2019 ^[1]

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

   • Implement a program that monitors antibiotic use. (Corrected 2019-05-14)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-05-14)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-05-14)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-05-14)
   • Provide and implement an infection prevention and control program. (Corrected 2019-05-14)
   • 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 ne (Corrected 2019-05-14)
   • Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. (Corrected 2019-05-14)

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

   • 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. (Corrected 2019-05-14)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-05-14)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-05-14)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-05-14)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-05-14)