Inspection Results » Lefa Seran Skilled Nursing Facility

Health Inspection on January 10, 2019 ^[1]

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

   • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2019-02-15)
   • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. (Corrected 2019-01-19)

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

   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-04-01)
   • 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 2019-03-01)
   • 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 2019-03-01)
   • Provide and implement an infection prevention and control program. (Corrected 2019-03-31)
   • Implement a program that monitors antibiotic use. (Corrected 2019-01-19)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2019-01-14)
   • Respond appropriately to all alleged violations. (Corrected 2019-01-14)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-03-25)
   • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Corrected 2019-01-18)