Inspection Results » Four Seasons Rehabilitation & Care

Health Inspection on April 15, 2019 ^[1]

1. Widespread: 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 2019-05-10)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-05-10)

2. Pattern: No actual harm with potential for more than minimal 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 2019-05-10)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2019-05-10)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-05-10)
   • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Corrected 2019-05-10)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-05-10)
   • Ensure that residents are free from significant medication errors. (Corrected 2019-05-10)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-05-10)
   • Provide for the safe, appropriate administration of IV fluids for a resident when needed. (Corrected 2019-05-10)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-05-10)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-05-10)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-05-10)
   • 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 2019-05-10)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-05-10)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-05-10)

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

   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-05-10)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-05-10)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-05-10)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2019-05-10)