Inspection Results » Blue Ridge in Georgetown

Health Inspection on July 23, 2018 ^[1]

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

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-10-17)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-10-17)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-10-17)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-10-17)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-10-17)

2. Pattern: 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 2018-10-17)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-10-17)
   • Provide and implement an infection prevention and control program. (Corrected 2018-10-17)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-10-17)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-10-17)
   • 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 2018-10-17)
   • Post nurse staffing information every day. (Corrected 2018-10-17)
   • 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 2018-10-17)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-10-17)

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

   • 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 2018-10-17)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-10-17)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-10-17)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-10-17)
   • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2018-10-17)
   • 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 2018-10-17)
   • Plan the resident's discharge to meet the resident's goals and needs. (Corrected 2018-10-17)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-10-17)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-10-17)
   • 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 2018-10-17)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-10-17)