Inspection Results » Saint Anne Nursing and Rehabilitation Center

Health Inspection on January 23, 2019 ^[1]

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

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-03-04)

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

   • Implement a program that monitors antibiotic use. (Corrected 2019-03-04)
   • Provide and implement an infection prevention and control program. (Corrected 2019-03-04)
   • 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 2019-03-04)

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

   • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Corrected 2019-03-04)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-03-04)
   • Ensure that the resident and his/her doctor meet face-to-face at all required visits. (Corrected 2019-03-04)
   • 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 2019-03-04)
   • 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 2019-03-04)

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

   • Respond appropriately to all alleged violations. (Corrected 2019-03-04)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-03-04)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-03-04)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-03-04)
   • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Corrected 2019-03-04)
   • Provide or obtain dental services for each resident. (Corrected 2019-03-04)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-03-04)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-03-04)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-03-04)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2019-03-04)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2019-03-04)