Inspection Results » Fond Du Lac Lutheran Home

Health Inspection on August 9, 2018 ^[1]

1. 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 2018-09-09)
   • Allow resident to participate in the development and implementation of his or her person-centered plan of care. (Corrected 2018-09-09)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-09-09)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2018-09-09)
   • Provide and implement an infection prevention and control program. (Corrected 2018-09-09)

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

   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-09-09)
   • 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 2018-09-09)
   • Assess the resident when there is a significant change in condition (Corrected 2018-09-09)
   • 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 2018-09-09)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-09-09)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-09-09)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-09-09)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-09-09)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2018-09-09)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-09-09)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-09-09)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-09-09)