Inspection Results » Universal Health Care Lillington

Health Inspection on June 8, 2018 ^[1]

1. Isolated: Immediate jeopardy to the resident health or safety

   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-07-10)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-07-10)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-07-10)

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

   • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Corrected 2018-07-10)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-07-10)

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

   • 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 2018-07-10)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-07-10)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-07-10)
   • 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 2018-07-10)

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

   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-07-10)
   • 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 2018-07-10)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-07-10)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-07-10)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-07-10)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-07-10)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-07-10)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-07-10)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-07-10)
   • Respond appropriately to all alleged violations. (Corrected 2018-07-10)