Inspection Results » St. John of God Retirement

Health Inspection on November 30, 2018 ^[1]

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

   • Have a policy regarding use and storage of foods brought to residents by family and other visitors. (Corrected 2019-01-09)
   • 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 2019-01-09)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-01-09)

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

   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-01-09)
   • Provide and implement an infection prevention and control program. (Corrected 2019-01-09)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-01-09)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-01-09)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-01-09)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-01-09)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-01-09)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-01-09)

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

   • 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 2019-01-09)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-01-09)
   • 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 2019-01-09)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-01-09)
   • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2019-01-09)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-01-09)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-01-09)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-01-09)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2019-01-09)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-01-09)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-01-09)
   • Honor each resident's preferences, choices, values and beliefs. (Corrected 2019-01-09)