Inspection Results » St James Living Center

Health Inspection on February 6, 2019 ^[1]

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

   • Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (Corrected 2019-03-20)
   • 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 2019-03-20)
   • Provide activities to meet all resident's needs. (Corrected 2019-03-20)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-03-20)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-03-20)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-03-20)
   • Provide and implement an infection prevention and control program. (Corrected 2019-03-20)

2. Isolated: 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 2019-03-20)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-03-20)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-03-20)
   • Provide safe, appropriate pain management for a resident who requires such services. (Corrected 2019-03-20)

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

   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-02-19)