Inspection Results » Willow Ridge Nursing and Rehabilitation Center,Llc

Health Inspection on October 18, 2018 ^[1]

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

   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-12-02)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-12-02)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-12-02)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-12-02)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-12-02)
   • Provide and implement an infection prevention and control program. (Corrected 2018-12-02)
   • 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 2018-12-02)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-12-02)

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

   • Honor each resident's preferences, choices, values and beliefs. (Corrected 2018-12-02)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-12-02)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-12-02)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-12-02)
   • Provide care by qualified persons according to each resident's written plan of care. (Corrected 2018-12-02)