Inspection Results » North Decatur Health and Rehabilitation Center

Health Inspection on December 6, 2018 ^[1]

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

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-01-20)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2019-01-20)

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

   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-01-20)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2019-01-20)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-01-20)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-01-20)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-01-20)
   • 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 2019-01-20)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-01-20)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-01-20)
   • Provide and implement an infection prevention and control program. (Corrected 2019-01-20)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-01-20)