Inspection Results » Life Care Center of Mount Vernon

Health Inspection on January 15, 2019 ^[1]

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

   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2019-02-25)

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

   • Honor the resident's right to organize and participate in resident/family groups in the facility. (Corrected 2019-02-25)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-02-25)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-02-25)
   • 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 2019-02-25)
   • Provide and implement an infection prevention and control program. (Corrected 2019-02-25)
   • 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 2019-02-25)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2019-02-25)

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

   • 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 2019-02-25)
   • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. (Corrected 2019-02-25)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-02-25)
   • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-02-25)
   • 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 2019-02-25)
   • Allow residents to self-administer drugs if determined clinically appropriate. (Corrected 2019-02-25)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2019-02-25)
   • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2019-02-25)
   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-02-25)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-02-25)
   • 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 2019-02-25)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-02-25)
   • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-02-25)
   • Provide activities to meet all resident's needs. (Corrected 2019-02-25)
   • PASARR screening for Mental disorders or Intellectual Disabilities (Corrected 2019-02-25)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-02-25)
   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2019-02-25)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-25)
   • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2019-02-25)