Inspection Results » Our Lady's Center for Rehabilitation & Health Care

Health Inspection on October 12, 2018 ^[1]

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

   • Implement a program that monitors antibiotic use. (Corrected 2018-12-12)

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

   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2018-12-12)
   • Post nurse staffing information every day. (Corrected 2018-12-12)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-12-12)
   • Keep all essential equipment working safely. (Corrected 2018-12-12)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-12-12)
   • Provide and implement an infection prevention and control program. (Corrected 2018-12-12)

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

   • Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. (Corrected 2018-12-12)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-12-12)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-12-12)
   • Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. (Corrected 2018-12-12)
   • Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. (Corrected 2018-12-12)