Inspection Results » Eventide Lutheran Home

Health Inspection on September 21, 2018 ^[1]

1. 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 2018-10-31)

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

   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-10-31)
   • 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 2018-10-31)

3. 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 2018-10-31)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-10-31)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-10-31)
   • Provide and implement an infection prevention and control program. (Corrected 2018-10-31)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-10-31)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-10-31)

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

   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-10-31)