Inspection Results » Meramec Nursing Center

Health Inspection on September 20, 2018 ^[1]

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

   • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-09-21)
   • Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. (Corrected 2018-09-20)

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

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-11)
   • Provide activities to meet all resident's needs. (Corrected 2018-09-28)
   • 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 2018-10-11)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-10-01)
   • Provide and implement an infection prevention and control program. (Corrected 2018-10-11)
   • 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 2018-10-11)