Inspection Results » Signature Healthcare of Lafayette

Health Inspection on March 14, 2019 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-04-13)

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

   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-04-13)
   • 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 2019-04-13)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2019-04-13)
   • 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 2019-04-13)

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

   • Assist a resident in gaining access to vision and hearing services. (Corrected 2019-04-13)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-04-13)
   • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2019-04-13)
   • Provide activities to meet all resident's needs. (Corrected 2019-04-13)
   • 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 2019-04-13)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-04-13)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2019-04-13)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2019-04-13)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-04-13)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-04-13)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-04-13)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-04-13)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-04-13)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-04-13)
   • 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 2019-04-13)