Inspection Results » Carrington Place at Rural Retreat

Health Inspection on March 5, 2019 ^[1]

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

   • Implement a program that monitors antibiotic use. (Corrected 2019-04-19)
   • Provide and implement an infection prevention and control program. (Corrected 2019-04-19)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-04-19)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-04-19)

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

   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-04-19)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-04-19)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-04-19)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-04-19)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-04-19)
   • 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 2019-04-19)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-04-19)
   • 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 2019-04-19)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-04-19)
   • 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 2019-04-19)
   • 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 2019-04-19)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2019-04-19)
   • Ensure that residents are free from significant medication errors. (Corrected 2019-04-19)

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

   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2019-04-19)
   • 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 2019-04-19)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-04-19)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-19)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-04-19)
   • Keep residents' personal and medical records private and confidential. (Corrected 2019-04-19)
   • Provide appropriate foot care. (Corrected 2019-04-19)
   • Provide special eating equipment and utensils for residents who need them and appropriate assistance. (Corrected 2019-04-19)
   • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2019-04-19)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-04-19)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-04-19)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-04-19)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-04-19)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-04-19)