Inspection Results » Missouri River Center

Health Inspection on May 3, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-06-12)
   • Honor each resident's preferences, choices, values and beliefs. (Corrected 2018-06-12)

2. Pattern: 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 2018-06-12)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-06-12)
   • Provide and implement an infection prevention and control program. (Corrected 2018-06-12)
   • Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. (Corrected 2018-06-12)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-06-12)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-06-12)

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

   • 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 2018-06-12)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-06-12)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-06-12)
   • Assess the resident when there is a significant change in condition (Corrected 2018-06-12)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2018-06-12)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-06-12)
   • 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 2018-06-12)
   • 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 2018-06-12)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-06-12)