Inspection Results » Decatur Living Center

  1. Health Inspection on November 1, 2018 [1]

    1. Widespread: 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 2018-11-28)
    2. Pattern: 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 2018-11-28)
      • Ensure that residents are free from significant medication errors. (Corrected 2018-11-28)
      • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-11-28)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-11-28)
      • 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 2018-11-28)
      • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-28)
      • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-11-28)
      • 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 2018-11-28)
      • Provide activities to meet all resident's needs. (Corrected 2018-11-28)
      • 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 2018-11-28)
      • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-11-28)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-28)
      • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-11-28)
    4. Widespread: No actual harm with potential for minimal harm
      • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-11-28)

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