Inspection Results » Evangelical Home - Saline

Health Inspection on December 13, 2018 ^[1]

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

   • Respond appropriately to all alleged violations. (Corrected 2019-01-17)
   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2019-01-17)

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

   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-01-17)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-01-17)
   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-01-17)

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

   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-01-17)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-01-17)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-01-17)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-01-17)
   • 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 2019-01-17)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-01-17)
   • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-01-17)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-01-17)

4. Isolated: 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 2019-01-17)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2019-01-17)
   • 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)
   • Provide and implement an infection prevention and control program. (Corrected 2019-01-17)
   • 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 2019-01-17)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-01-17)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-01-17)