Inspection Results » Life Care Center of Hilton Head

Health Inspection on May 2, 2018 ^[1]

1. Pattern: Immediate jeopardy to the resident health or safety

   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-05-25)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-05-25)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-05-25)
   • Respond appropriately to all alleged violations. (Corrected 2018-05-25)

2. Pattern: 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 2018-05-25)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-05-25)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-05-25)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-05-25)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-05-25)
   • Provide and implement an infection prevention and control program. (Corrected 2018-05-25)
   • 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 2018-05-25)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-05-25)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-05-25)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-05-25)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-05-25)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-05-25)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-05-25)
   • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2018-05-25)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-05-25)
   • 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 2018-05-25)

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

   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-05-25)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-05-25)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-05-25)
   • Provide activities to meet all resident's needs. (Corrected 2018-05-25)
   • 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 2018-05-25)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-05-25)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-05-25)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-05-25)
   • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (Corrected 2018-05-25)

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

   • Post nurse staffing information every day. (Corrected 2018-05-25)
   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-05-25)
   • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2018-05-25)