Inspection Results » Life Care Center of Andover

Health Inspection on February 7, 2019 ^[1]

1. Isolated: Immediate jeopardy to the resident health or safety

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-03-08)

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

   • Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. (Corrected 2019-03-08)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected N/A)
   • Implement a program that monitors antibiotic use. (Corrected 2019-03-08)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-03-08)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-03-08)

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

   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-03-08)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-03-08)
   • 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 2019-03-08)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-03-08)
   • 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 2019-03-08)

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

   • Provide or obtain dental services for each resident. (Corrected 2019-03-08)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-03-08)
   • 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 2019-03-08)
   • Protect each resident from the wrongful use of the resident's belongings or money. (Corrected 2019-03-08)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2019-03-08)
   • 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 2019-03-08)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-03-08)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-03-08)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-03-08)
   • Provide and implement an infection prevention and control program. (Corrected 2019-03-08)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-03-08)
   • 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 2019-03-08)
   • 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 2019-03-08)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-03-08)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-03-08)