Inspection Results » Blue River Healthcare, Inc

Health Inspection on September 13, 2018 ^[1]

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

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-10-15)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-10-15)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-10-15)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-10-15)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-10-15)
   • 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 2018-10-15)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-10-15)
   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-10-15)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-10-15)
   • Implement a program that monitors antibiotic use. (Corrected 2018-10-15)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-10-15)

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

   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-10-15)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-10-15)
   • 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 2018-10-15)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-10-15)