Inspection Results » Fir Lane Health and Rehab Center

Health Inspection on February 28, 2019 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-04-16)

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

   • 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 2019-04-16)
   • Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. (Corrected 2019-04-16)

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

   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-04-16)
   • Keep all essential equipment working safely. (Corrected 2019-04-16)
   • Provide and implement an infection prevention and control program. (Corrected 2019-04-16)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-04-16)
   • 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 2019-04-16)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-04-16)

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

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-04-16)
   • Provide or obtain dental services for each resident. (Corrected 2019-04-16)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-04-16)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-04-16)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-04-16)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-04-16)
   • 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 2019-04-16)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-16)
   • 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 2019-04-16)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-04-16)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-04-16)
   • 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 2019-04-16)