Inspection Results » Lancaster Health Care Center

Health Inspection on May 31, 2018 ^[1]

1. Isolated: Immediate jeopardy to the resident health or safety

   • Provide and implement an infection prevention and control program. (Corrected 2018-07-18)

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

   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-07-18)
   • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-07-18)

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

   • Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (Corrected 2018-07-18)
   • 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 2018-07-18)

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

   • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Corrected 2018-07-18)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-07-18)
   • Encode each residentÂ’s assessment data and transmit these data to the State within 7 days of assessment. (Corrected 2018-07-18)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2018-08-02)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-08-02)
   • Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. (Corrected 2018-07-18)
   • 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 2018-07-18)
   • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Corrected 2018-07-18)
   • Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. (Corrected 2018-08-02)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-07-18)
   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2018-07-18)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-07-18)
   • 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 2018-08-02)
   • Provide medically-related social services to help each resident achieve the highest possible quality of life. (Corrected 2018-08-02)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-07-18)

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

   • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2018-07-18)
   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2018-07-18)