Inspection Results » Creve Coeur Manor

Health Inspection on April 26, 2018 ^[1]

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

   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-05-26)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-05-26)

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

   • Provide activities to meet all resident's needs. (Corrected 2018-05-26)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-05-26)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-05-26)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-05-26)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-05-26)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-05-26)
   • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Corrected 2018-05-26)

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

   • 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 2018-05-26)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-05-26)
   • 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 2018-05-26)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-05-26)
   • Honor the resident's right to manage his or her financial affairs. (Corrected 2018-05-26)
   • 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 2018-05-26)
   • Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. (Corrected 2018-05-26)
   • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-05-26)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-05-26)
   • Assure the security of all personal funds of residents deposited with the facility. (Corrected 2018-05-26)
   • Assess the resident when there is a significant change in condition (Corrected 2018-05-26)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-05-26)
   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2018-05-26)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-05-26)
   • Provide and implement an infection prevention and control program. (Corrected 2018-05-26)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-05-26)