Inspection Results » The Lighthouse at Hancock Health and Rehab

Health Inspection on April 2, 2019 ^[1]

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

   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-05-08)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2019-05-08)

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 2019-05-08)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-05-08)
   • Provide and implement an infection prevention and control program. (Corrected 2019-05-08)
   • Have a policy regarding use and storage of foods brought to residents by family and other visitors. (Corrected 2019-05-08)

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

   • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentÂ’s advance directives. (Corrected 2019-05-16)

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

   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-05-08)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-05-08)
   • Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. (Corrected 2019-05-08)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-05-16)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-05-08)
   • Respond appropriately to all alleged violations. (Corrected 2019-05-08)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-05-08)
   • 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 2019-05-08)
   • 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 2019-05-08)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-05-08)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-05-08)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-05-08)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-05-08)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2019-05-08)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-05-08)
   • 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 2019-05-08)