Inspection Results » Richardton Health Center Inc

Health Inspection on December 6, 2018 ^[1]

1. Pattern: 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 2019-01-24)
   • 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 2019-01-24)
   • Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. (Corrected 2019-01-24)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-01-24)

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

   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2019-01-24)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-01-24)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-01-24)
   • Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Corrected 2019-01-24)
   • Implement a program that monitors antibiotic use. (Corrected 2019-01-24)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-01-24)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-01-24)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-01-24)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-01-24)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2019-01-24)
   • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. (Corrected 2019-01-24)
   • Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. (Corrected 2019-01-24)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2019-01-24)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2019-01-24)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2019-01-24)
   • 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 2019-01-24)