Inspection Results » Clara City Care Center

Health Inspection on September 21, 2018 ^[1]

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

   • 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 2018-11-19)

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

   • Implement a program that monitors antibiotic use. (Corrected 2018-11-19)
   • Provide and implement an infection prevention and control program. (Corrected 2018-11-19)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-11-19)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-11-19)

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

   • 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 2018-11-19)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2018-11-19)

4. Isolated: 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 2018-11-19)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-11-19)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-11-19)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-11-19)
   • Provide activities to meet all resident's needs. (Corrected 2018-11-19)
   • Respond appropriately to all alleged violations. (Corrected 2018-11-19)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-11-19)
   • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2018-11-19)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-11-19)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-11-19)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-11-19)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-11-19)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-11-19)

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

   • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (Corrected 2018-11-19)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-11-19)