Inspection Results » Lakes of Monclova Health Campus The

Health Inspection on March 21, 2019 ^[1]

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

   • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (Corrected 2019-04-10)
   • Provide and implement an infection prevention and control program. (Corrected 2019-04-10)

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

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-04-10)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2019-04-10)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-04-10)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-04-10)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-04-10)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-04-10)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-10)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-04-10)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-04-10)
   • Ensure that residents are free from significant medication errors. (Corrected 2019-04-10)
   • Assess the resident when there is a significant change in condition (Corrected 2019-04-10)
   • 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 2019-04-10)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-04-10)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-04-10)