Inspection Results » Life Care Center of Grandview

Health Inspection on September 28, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-11-07)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-11-07)

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

   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-11-07)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-11-07)

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

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-11-07)
   • Provide and implement an infection prevention and control program. (Corrected 2018-11-07)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-11-07)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-11-07)
   • Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (Corrected 2018-11-07)

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

   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-11-07)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2018-11-07)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-11-07)
   • 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 2018-11-07)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-11-07)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-07)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-11-07)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-11-07)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-11-07)