Inspection Results » Franklin Hills Health & Rehab Center

Health Inspection on December 11, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • 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 2019-04-21)

2. Widespread: 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 2019-04-21)
   • Implement a program that monitors antibiotic use. (Corrected 2019-04-21)

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

   • Respond appropriately to all alleged violations. (Corrected 2019-04-21)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-04-21)
   • 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 2019-04-21)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-04-21)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2019-04-21)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-04-21)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2019-04-21)
   • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-04-21)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-21)

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

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-04-21)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2019-04-21)
   • Honor the resident's right to choose his or her attending physician. (Corrected 2019-04-21)
   • Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. (Corrected 2019-04-21)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-04-21)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2019-04-21)
   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2019-04-21)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-04-21)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-04-21)
   • Assist a resident in gaining access to vision and hearing services. (Corrected 2019-04-21)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2019-04-21)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-04-21)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2019-04-21)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-04-21)
   • Provide or obtain dental services for each resident. (Corrected 2019-04-21)
   • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2019-04-21)