Inspection Results » Luther Oaks

  1. Health Inspection on June 20, 2018 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Corrected 2018-07-08)
      • Implement a program that monitors antibiotic use. (Corrected 2018-07-26)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-07-09)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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 2018-07-06)
      • Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. (Corrected 2018-07-06)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-07-06)
      • Ensure each resident receives an accurate assessment. (Corrected 2018-07-06)
      • 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 2018-07-08)
      • Provide and implement an infection prevention and control program. (Corrected 2018-07-06)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-07-06)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-07-06)
      • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-07-06)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-07-06)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-07-06)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html