Inspection Results » The Villages of Lapeer Nursing & Rehabilitation

Health Inspection on February 27, 2019 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-04-12)

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

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-04-12)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-04-12)
   • Implement a program that monitors antibiotic use. (Corrected 2019-04-12)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-04-12)

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

   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-04-12)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-04-12)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-04-12)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-12)
   • Provide and implement an infection prevention and control program. (Corrected 2019-04-12)

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

   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2019-04-12)
   • Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (Corrected 2019-04-12)
   • Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (Corrected 2019-04-12)
   • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2019-04-12)
   • Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. (Corrected 2019-04-12)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-04-12)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-04-12)
   • 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 2019-04-12)
   • 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 2019-04-12)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-04-12)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-04-12)
   • 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 2019-04-12)

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

   • Post nurse staffing information every day. (Corrected 2019-04-12)