Inspection Results » The Graybrier Nurs & Retirement Ct

Health Inspection on July 12, 2018 ^[1]

1. Widespread: 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 2018-07-31)

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

   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-07-31)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-07-31)
   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-07-31)

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

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-07-31)
   • Assess the resident when there is a significant change in condition (Corrected 2018-07-31)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-07-31)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-08-02)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-07-31)
   • 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 2018-07-31)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-07-31)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-07-31)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-07-31)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-07-31)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-07-31)