Inspection Results » Clarkston Specialty Healthcare Center

Health Inspection on March 26, 2018 ^[1]

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

   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-06-07)
   • Respond appropriately to all alleged violations. (Corrected 2018-04-24)

2. 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 2018-04-24)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-04-24)
   • Provide and implement an infection prevention and control program. (Corrected 2018-04-24)

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

   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-06-07)
   • 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 2018-04-24)

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

   • Ensure each resident receives an accurate assessment. (Corrected 2018-04-24)
   • 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 2018-04-24)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-04-24)
   • 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 2018-04-24)
   • Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. (Corrected 2018-04-24)
   • 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 2018-04-24)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-04-24)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-04-24)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-04-24)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2018-04-24)
   • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Corrected 2018-04-24)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-04-24)