Inspection Results » Rose City Nursing and Rehab at Lancaster

Health Inspection on May 14, 2018 ^[1]

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

   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2018-06-15)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-06-15)
   • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2018-06-15)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-06-15)
   • Provide activities to meet all resident's needs. (Corrected 2018-06-15)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-06-15)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-06-15)
   • Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (Corrected 2018-06-15)
   • 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 2018-06-15)

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

   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-06-15)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-06-15)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-06-15)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-06-15)
   • 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 2018-06-15)
   • Ensure meals and snacks are served at times in accordance with residentÂ’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of schedu (Corrected 2018-06-15)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-06-15)
   • Provide or obtain dental services for each resident. (Corrected 2018-06-15)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-06-15)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-06-15)
   • Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. (Corrected 2018-06-15)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-06-15)