Inspection Results » Blanco Villa Nursing and Rehabilitation Lp

Health Inspection on June 7, 2018 ^[1]

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

   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-07-20)

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

   • 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 2018-07-20)
   • Make sure that a working call system is available in each resident's bathroom and bathing area. (Corrected 2018-07-20)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-07-20)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-07-20)
   • 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 2018-07-20)
   • Provide and implement an infection prevention and control program. (Corrected 2018-07-20)
   • Keep all essential equipment working safely. (Corrected 2018-07-20)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-07-20)
   • 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 2018-07-20)
   • 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 2018-07-20)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-07-20)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-07-20)

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

   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-07-20)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-07-20)

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

   • Dispose of garbage and refuse properly. (Corrected 2018-07-20)
   • 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 2018-07-20)