Inspection Results » Marian Medical Center Distinct Part Skilled Nursing Facility

Health Inspection on April 10, 2018 ^[1]

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

   • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Corrected 2018-05-04)

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

   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-05-04)
   • 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 2018-05-04)

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

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-05-04)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-05-04)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-05-04)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-05-04)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-05-04)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-05-04)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-05-04)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-05-04)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-05-04)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-05-04)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-05-04)
   • Provide and implement an infection prevention and control program. (Corrected 2018-05-04)
   • 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 2018-05-04)