Inspection Results » Bear Lake Memorial Skilled Nursing Facility

Health Inspection on January 26, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-03-21)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-03-21)

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

   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-03-21)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-03-21)
   • 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 2018-03-21)

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

   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-03-21)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-03-21)

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

   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-03-21)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-03-21)
   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2018-03-21)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-03-21)
   • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Corrected 2018-03-21)
   • 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 2018-03-21)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-03-21)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-03-21)
   • 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 2018-03-21)