Inspection Results » Diversicare of Haysville

Health Inspection on August 9, 2018 ^[1]

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-09-14)

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

   • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-09-14)
   • Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. (Corrected 2018-09-14)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-09-14)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-09-14)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-09-14)
   • Provide activities to meet all resident's needs. (Corrected 2018-09-14)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-09-14)
   • 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 2018-09-14)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-14)

3. Isolated: 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 2018-09-14)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-09-14)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-09-14)
   • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2018-09-14)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-09-14)
   • 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 2018-09-14)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-09-14)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-09-14)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-09-14)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-09-14)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-09-14)

4. Pattern: No actual harm with potential for minimal harm

   • Post nurse staffing information every day. (Corrected 2018-09-14)