Inspection Results » Norterre

Health Inspection on December 13, 2018 ^[1]

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

   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2019-02-05)
   • Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. (Corrected 2019-02-05)
   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2019-02-05)
   • Provide activities to meet all resident's needs. (Corrected 2019-02-05)
   • Ensure the activities program is directed by a qualified professional. (Corrected 2019-02-05)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2019-02-05)
   • Provide and implement an infection prevention and control program. (Corrected 2019-02-05)
   • Implement a program that monitors antibiotic use. (Corrected 2019-02-05)

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

   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-02-05)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-02-05)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-05)
   • 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 2019-02-05)
   • Not hire anyone with a finding of abuse, neglect, exploitation, or theft. (Corrected 2019-02-05)
   • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Corrected 2019-02-05)
   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2019-02-05)

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

   • Respond appropriately to all alleged violations. (Corrected 2019-02-05)
   • 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 2019-02-05)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-05)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-02-05)
   • Ensure that residents are free from significant medication errors. (Corrected 2019-02-05)
   • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Corrected 2019-02-05)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-02-05)