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Date ArticleType
10/3/2016 Regulatory
August Residential Care Citations

The Indiana State Department of Health conducted 14 surveys in the month of August with four or 28.57 percent of licensure that are deficiency free. There were 17 offense tags cited, 40 deficiency tags cited for a total of 57 residential tags cited for the month.

The most frequently cited tag was for tag 0273 Food and Nutritional Services – Deficiency. The tag was cited 12 times for failure of the facility to ensure all food preparation and serving areas (excluding areas in residents’ units) are maintained in accordance with state and local sanitation and safe food handling standards. Examples of deficient practice are failure to ensure food is labeled and dated, accumulation of dirt on the floor and/or storage racks, uncovered trash receptacles, and failure to cover facial hair. There also continues to be a surveyor focus on staff not changing gloves after touching their uniform and or other objects before going back to food preparation. Tag 0241 Health Services Offense for failure to ensure the administration of medications and the provision of residential nursing care was as ordered by the residents’ physician and supervised by a licensed nurse on the premises or on call as follows: (1) Medication shall be administered by licensed nursing personnel or qualified medication aides. Systems to monitor timelines of ordering, delivery and administering of medications should be in place and frequently monitored to ensure compliance including auditing for omissions in the Medication/Treatment Administration Records. Tag 0117 Personnel Deficiency was cited six times for failure to ensure staff was sufficient in numbers, qualifications and training in accordance with applicable state laws and rules to meet the 24 hour scheduled and unscheduled needs of the residents and services provided.

Tags 052, 0242 and 0406 were all cited three times.

Tag 052 – Residents Rights Offense – Failure to ensure residents right to be from abuse
Tag 0242 – Health Services Offense – Failure to observe for effects of medications
Tag 0406 – Infection Control Offense- Failure to 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 disease and infections.

If you have any questions, or would like assistance with survey readiness, contact Lori Davenport at ldavenport@ihca.org.