Inspection Results » Jacob Health Care Center, LLC

Health Inspection on September 17, 2018 ^[1]

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

   • Provide and implement an infection prevention and control program. (Corrected 2018-10-16)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-10-16)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-10-16)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-10-16)

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 2018-10-16)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-10-16)
   • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Corrected 2018-10-16)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-10-16)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-10-16)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-10-16)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-10-16)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-10-16)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-10-16)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-10-16)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-10-16)
   • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Corrected 2018-10-16)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-16)
   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2018-10-16)
   • Provide appropriate foot care. (Corrected 2018-10-16)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-10-16)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-10-16)
   • 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 2018-10-16)