Inspection Results » Meadowbrook Acres

Health Inspection on March 20, 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 2019-04-26)
   • Provide and implement an infection prevention and control program. (Corrected 2019-04-26)

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

   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-04-26)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-04-26)
   • Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. (Corrected 2019-04-26)
   • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2019-04-26)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-04-26)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-04-26)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-04-26)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-04-26)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-04-26)
   • 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 2019-04-26)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-04-26)

3. 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 2019-04-26)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-04-26)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2019-04-26)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-04-26)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-04-26)
   • Provide timely, quality laboratory services/tests to meet the needs of residents. (Corrected 2019-04-26)
   • 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 2019-04-26)
   • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2019-04-26)