Inspection Results » Premier Estates of Muscatine

Health Inspection on June 19, 2018 ^[1]

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

   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-08-05)

2. Isolated: Actual harm that is not immediate jeopardy

   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-08-05)

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

   • Keep all essential equipment working safely. (Corrected 2018-08-05)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-09-12)

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

   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-09-12)
   • 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 2018-08-05)

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

   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-09-12)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-08-05)
   • Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. (Corrected 2018-08-05)
   • Provide and implement an infection prevention and control program. (Corrected 2018-08-05)
   • Provide routine and 24-hour emergency dental care for each resident. (Corrected 2018-08-05)
   • Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentÂ’s advance directives. (Corrected 2018-08-05)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-09-12)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-08-05)
   • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2018-08-05)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-09-12)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-09-12)

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

   • Post nurse staffing information every day. (Corrected 2018-08-05)