Inspection Results » Holzer Senior Care Center

Health Inspection on August 29, 2018 ^[1]

1. Pattern: Actual harm that is not immediate jeopardy

   • 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 2018-12-04)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-12-04)

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 2018-12-04)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-11-19)
   • 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 2018-12-04)
   • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2018-11-19)
   • Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. (Corrected 2018-11-19)
   • Implement a program that monitors antibiotic use. (Corrected 2018-11-19)

3. 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 2018-12-04)
   • Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. (Corrected 2018-11-19)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-11-19)

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

   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-11-19)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-11-19)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2018-11-19)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2018-12-04)
   • Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. (Corrected 2018-11-19)
   • Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. (Corrected 2018-11-19)
   • Ensure each resident must receive and the facility must provide necessary behavioral health care and services. (Corrected 2018-11-19)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-11-19)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-11-19)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-11-19)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-12-04)
   • 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 2018-11-19)
   • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-11-19)
   • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-11-19)
   • Provide or get specialized rehabilitative services as required for a resident. (Corrected 2018-11-19)
   • Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. (Corrected 2018-11-19)

5. Widespread: No actual harm with potential for minimal harm

   • Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. (Corrected 2018-11-19)