Inspection Results » Layhill Nursing and Rehabilitation Center

Health Inspection on October 16, 2018 ^[1]

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

   • Ensure each resident receives an accurate assessment. (Corrected 2018-11-29)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-11-29)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-11-29)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-11-29)
   • Provide and implement an infection prevention and control program. (Corrected 2018-11-29)

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

   • 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 2018-11-29)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-11-29)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-29)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-11-29)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-29)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2018-11-29)
   • Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (Corrected 2018-11-29)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-11-29)

3. Widespread: No actual harm with potential for minimal harm

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-11-29)

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

   • Post nurse staffing information every day. (Corrected 2018-11-29)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-11-29)