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Date ArticleType
6/9/2016 Regulatory
April Residential Care Citation Update

The Indiana State Department of Health conducted a total 8 surveys and 50 percent of licensure surveys were deficiency free. There were a total of 36 deficiency tags cited and 6 offence tags for a total of 42 tags. Residential tag 273 continues to be the most frequently cited tag (8 times) for failure to ensure all food preparation and serving areas are maintained in accordance with the state and local sanitation and safe food handling standards. Facilities failed to date seasonings, other food items in coolers, and failure to store and use chemicals properly. Lights and vents were soiled and utensils, such as tongs or thermometers used to serve food and/or check food temperatures were used or sanitized improperly. Tag 117 was cited 6 times for failure to ensure a minimum of 1 awake person with Cardiopulmonary Resuscitation (CPR) / First Aid and certification was scheduled on each shift.

Offence Tag 002 – (1 time) – A residential care facility may not provide comprehensive nursing care except to the extent allowed under this rule.
Offence Tag 052 – (1 time) -- Residents have the right to be free from sexual abuse, physical abuse, mental abuse, corporal punishment, neglect, and involuntary seclusion.
Offence Tag 241 – (2 times) – The administration of medications and the provision of residential nursing care shall be as ordered by the resident’s physician and shall be supervised by a licensed nurse on the premises or on call as follows: Medication shall be administered by a licensed nursing personnel or qualified medication aid.
Offensive Tag 242 – (1 time) – The resident shall be observed for effects of medications. Documentation of any undesirable effects shall be contained in the clinical record. The physician shall be notified immediately if undesirable effects occur, and such notification shall be documented in the clinical record.
Offensive Tag 406 – (1 time) – The facility must establish and maintain an infection control practice designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of diseases and infection. The facility failed to administer eye drops in a manor to prevent infection.

• F118 – Certified Nursing Assistant license was expired
• F152 – Failed to ensure linen was transported using sanitary technique
• F217 – Failed to ensure a service plan was developed
• F275 – Failed to have a diet order signed by the physician
• F281 – Medication error/ Failed to ensure correct medications were administered
• F296 – Failed to administer insulin via flex pen according to manufacturer guidelines
• F333- Failed to ensure resident was free from significant medication errors
• F410 – Failed to conduct Tuberculosis screening timely, within three months of admission
• F026 – Failed to ensure resident had signed acknowledgement of resident rights or resident rights posted in a public and accessible area
• F086 – Failed to obtain a Clinical Laboratory Improvement Amendment (CLIA) Waiver

Please direct questions to Lori Davenport, Director of Regulatory Compliance, at ldavenport@ihca.org.