Inspection Results » Metron of Belding

Health Inspection on June 18, 2018 ^[1]

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

   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-11-16)

2. Pattern: Immediate jeopardy to the resident health or safety

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-11-16)
   • Respond appropriately to all alleged violations. (Corrected 2018-11-16)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-11-16)

3. Isolated: Actual harm that is not immediate jeopardy

   • Provide or obtain dental services for each resident. (Corrected 2018-08-08)

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

   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-11-16)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-08-08)

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

   • 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 2018-08-08)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-16)

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

   • 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 2018-08-08)
   • Provide and implement an infection prevention and control program. (Corrected 2018-11-16)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-08-08)
   • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Corrected 2018-08-08)
   • Honor each resident's preferences, choices, values and beliefs. (Corrected 2018-08-08)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-11-16)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-08-08)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-16)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-08-08)
   • 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 2018-08-08)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-11-16)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-08-08)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-11-16)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-08-08)
   • Assess the resident when there is a significant change in condition (Corrected 2018-08-08)
   • Implement a program that monitors antibiotic use. (Corrected 2018-08-08)

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

   • Post nurse staffing information every day. (Corrected 2018-11-16)