Inspection Results » Providence Marianwood

Health Inspection on January 16, 2019 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-02-20)

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

   • Respond appropriately to all alleged violations. (Corrected 2019-02-20)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2019-02-20)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-02-20)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-02-20)
   • 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 2019-02-20)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-02-20)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-02-20)
   • Implement a program that monitors antibiotic use. (Corrected 2019-02-20)

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

   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2019-02-20)
   • Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. (Corrected 2019-02-20)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-02-20)
   • 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 2019-02-20)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-02-20)
   • Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. (Corrected 2019-02-20)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-02-20)
   • 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 2019-02-20)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-02-20)
   • Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. (Corrected 2019-02-20)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-02-20)