Inspection Results » Columbia Lutheran Home

Health Inspection on June 5, 2018 ^[1]

1. Isolated: Actual harm that is not immediate jeopardy

   • Provide appropriate pressure ulcer care and prevent new ulcers from developing. (Corrected 2018-06-29)

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

   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2018-06-29)

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

   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-06-29)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-06-29)
   • Provide and implement an infection prevention and control program. (Corrected 2018-06-29)
   • Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. (Corrected 2018-06-29)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-06-29)
   • Provide appropriate foot care. (Corrected 2018-06-29)
   • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. (Corrected 2018-06-29)
   • Observe each nurse aide's job performance and give regular training. (Corrected 2018-06-29)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-06-29)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2018-06-29)
   • Respond appropriately to all alleged violations. (Corrected 2018-06-29)
   • 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 2018-06-29)
   • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. (Corrected 2018-06-29)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-06-29)
   • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2018-06-29)
   • Provide or obtain dental services for each resident. (Corrected 2018-06-29)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-06-29)