Inspection Results » Premier at Susquehanna for Nursing and Rehab, LLC

Health Inspection on November 29, 2018 ^[1]

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

   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-01-08)
   • 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 2019-01-08)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-01-08)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-01-08)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-01-08)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-01-08)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-01-08)

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

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-01-08)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-01-08)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-01-08)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-01-08)
   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2019-01-08)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-01-08)
   • Provide and implement an infection prevention and control program. (Corrected 2019-01-08)
   • Have a policy regarding use and storage of foods brought to residents by family and other visitors. (Corrected 2019-01-08)
   • 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 2019-01-08)
   • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2019-01-08)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-01-08)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-01-08)

3. Widespread: No actual harm with potential for minimal harm

   • 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 2019-01-08)

4. Pattern: No actual harm with potential for minimal harm

   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-01-08)