Inspection Results » Primrose Post-Acute

Health Inspection on December 30, 2018 ^[1]

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

   • 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 2019-02-15)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-02-15)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-02-15)
   • Provide activities to meet all resident's needs. (Corrected 2019-02-15)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-02-15)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-02-15)
   • 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 2019-02-15)
   • Implement a program that monitors antibiotic use. (Corrected 2019-02-15)
   • 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 2019-02-15)
   • Provide and implement an infection prevention and control program. (Corrected 2019-02-15)
   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2019-02-15)

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

   • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Corrected 2019-02-15)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-02-15)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-02-15)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-02-15)
   • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2019-02-15)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-02-15)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-02-15)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-02-15)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2019-02-15)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2019-02-15)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-02-15)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-15)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-02-15)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-02-15)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-02-15)

3. Pattern: No actual harm with potential for minimal harm

   • Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (Corrected 2019-02-15)