Inspection Results » Reagan County Care Center

Health Inspection on August 2, 2018 ^[1]

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

   • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Corrected 2018-09-23)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-09-23)
   • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Corrected 2018-09-23)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-09-23)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-09-23)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-09-23)
   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-09-23)
   • Implement a program that monitors antibiotic use. (Corrected 2018-09-23)

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

   • Provide and implement an infection prevention and control program. (Corrected 2018-09-23)
   • 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 2018-09-23)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-09-23)
   • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2018-09-23)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-09-23)
   • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2018-09-23)

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 2018-09-23)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-09-23)