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ARTICLE

Date ArticleType
4/3/2017 Regulatory
February 2017 Residential Care Citations

There were four surveys completed in the month of February.  There was one or 25 percent deficiency free.  There was a total of six offense tags cited and 51 residential tags cited.

Offense tags for the month of February are as follows:

  • Tag 0241 Health Services (3 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: (1) Medication shall be administered by licensed nursing personnel or qualified medication aides. 
  • Tag 0052 Residents’ Rights (2 times) – Residents have the right to be free from: (1) sexual abuse; (2) physical abuse; (3) mental abuse; (4) corporal punishment; (5) neglect; and (6) involuntary seclusion. 
  • Tag 0002 Scope of Residential Care (1 time) – A residential care facility may not provide comprehensive nursing care except to the extent allowed under this rule.  

 Top Residential Tags for the month of February are as follows:

  • 0273 Food and Nutritional Services (7 times) – 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.
  • 0117 Personnel Deficiency (6 times) – Staff shall be sufficient in number, qualification, and training in accordance with applicable state laws and rules to meet the twenty-four (24) hour schedule and unscheduled needs of the residents and services provided.  The number, qualifications, and training of staff shall depend on skills required to provide for the specific needs of the residents.  A minimum on one (1) awake staff person, with current CPR and first aid certificates, shall be onsite always.  If fifty (50) or more resident of the facility regularly receive residential nursing services or administration of medication, or both, at least one (1) nursing staff person shall be on site always.  Residential facilities with over one hundred (100) residents regularly receiving residential nursing services or administration of medication, or both, shall have at least one (1) additional nursing staff person awake and on duty always for every additional fifty (50) residents.  Personnel shall be assigned only those duties for which they are trained to perform.  Employee duties shall conform with written job descriptions. 
  • 0217 Evaluation Deficiency (5 times) – Following completion of an evaluation, the facility, using appropriately trained staff members, shall identify and document the services to be provided by the facility, as follows: (1) The services offered to the individual resident shall be appropriate to the: (A) scope; (B) frequency; (C) need; and (D) preference; of the resident. (2) The services offered shall be reviewed and revised as appropriate and discussed by the resident and facility as needs or desires change.  Either the facility or the resident may request a service plan review.  (3) The agreed upon service plan shall be signed and dated by the resident, and a copy of the service plan shall be given to the resident upon request.  (4) No identification and documentation of services provided is needed if evaluations after the initial evaluation indicate no need for a change in services. (5) If administration of medications or the provision of residential nursing services, or both, is needed, a licensed nurse shall be involved in identification and documentation of the services to be provided.
  • 0036 Resident Rights (3 times) – The facility must immediately consult the resident’s physician and the resident’s legal representative when the facility has noticed: (1) a significant decline in the resident’s physical, mental, or psychological status; or (2) a need to alter treatment significantly, that is, a need to discontinue an existing form of treatment due to adverse consequences or to commence a new form of treatment. 
  • 0214 Evaluation (3 times) – An evaluation of the individual needs of each resident shall be initiated prior to admission and shall be updates at least semiannually and upon a known substantial change in the resident’s condition, or more often at the resident’s or facility’s request. A licensed nurse shall evaluate the nursing needs of the resident.
  • 0144 (2 times)- Sanitation and Safety Standards – The facility shall be clean, orderly, and in a state of good repair, both inside and out, and shall provide reasonable comfort for all residents.
  • 0193 (2 times) – Physical Plant Standards – The facility shall have laundry services whether in-house or with a commercial laundry by contract as follows: (1) If the facility operates its own laundry, the laundry shall be designed and operated to promote a flow of laundry from the soiled utility area toward the clean utility area to prevent contamination.  (2) Written procedures for handling, storage, transportation, and processing of linens shall be posted in the laundry and shall be implemented. 

If you have any questions, or would like assistance in preparing for your survey, please email ldavenport@ihca.org.