Inspection Results » Milner Community Health Care

Health Inspection on May 31, 2018 ^[1]

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

   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-06-30)

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

   • 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 2018-06-30)

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

   • Respond appropriately to all alleged violations. (Corrected 2018-06-30)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-06-30)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2018-06-30)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-06-30)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-06-30)
   • 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 2018-06-30)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2018-06-30)
   • 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 2018-06-30)

4. Widespread: No actual harm with potential for minimal harm

   • Implement a program that monitors antibiotic use. (Corrected 2018-06-30)
   • Post nurse staffing information every day. (Corrected 2018-06-30)
   • Have a policy regarding use and storage of foods brought to residents by family and other visitors. (Corrected 2018-06-30)
   • Provide and implement an infection prevention and control program. (Corrected 2018-06-30)
   • Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. (Corrected 2018-06-30)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-06-30)