Inspection Results » St Andrews Place

Health Inspection on January 17, 2019 ^[1]

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

   • 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 2019-02-16)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-16)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-16)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2019-02-16)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-02-16)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-16)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2019-02-16)
   • Assure that each residentÂ’s assessment is updated at least once every 3 months. (Corrected 2019-02-16)
   • 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 2019-02-16)
   • Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install (Corrected 2019-02-16)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-02-16)
   • Ensure that residents are free from significant medication errors. (Corrected 2019-02-16)

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

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-02-16)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-02-16)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-02-16)
   • Put firmly secured handrails on each side of hallways. (Corrected 2019-02-16)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-02-16)

3. Pattern: No actual harm with potential for minimal harm

   • 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 2019-01-17)