Inspection Results » Sanford Health & Rehabilitation Co

Health Inspection on August 9, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-09-05)

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

   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-09-05)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-09-05)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-09-05)
   • Implement a program that monitors antibiotic use. (Corrected 2018-09-05)

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 2018-09-05)
   • 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 2018-09-05)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-09-05)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-09-05)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-09-05)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-09-05)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-05)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-09-05)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-09-05)