Inspection Results » Retama Manor/Laredo South

Health Inspection on March 11, 2018 ^[1]

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

   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-04-06)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2018-04-06)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-04-06)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-04-06)

2. 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 2018-04-06)
   • Provide and implement an infection prevention and control program. (Corrected 2018-04-06)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2018-04-06)
   • 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 2018-04-06)
   • 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 2018-04-06)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-04-06)
   • 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 2018-04-06)
   • 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 2018-04-06)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2018-04-06)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2018-04-06)
   • 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 2018-04-06)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-04-06)