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Date ArticleType
8/29/2017 Regulatory
July 2017 Residential Care Citations

The Indiana State Department of Health completed a total of eight surveys with one or 12.5 percent of the eight being deficiency free. There was a total of five offense tags cited, 45 deficiency tags and a total of 50 residential tags in the month of July.

The Offense tags were as follows:

Tag 0241 (3 times) – Health Services Offense for failure to ensure the administration of medication and the provision of residential nursing care was provided as ordered by the resident’s physician and supervised by a licensed nurse on the premises or on call. Medication is to be administered by a licensed nursing personnel or a qualified medication aid.

Tag 0052 (2 times) – Residents’ Rights Offense for failure to ensure the resident was free from: (1) sexual abuse; (2) physical abuse; (3) mental abuse; (4) corporal punishment; (5) neglect; and (6) involuntary seclusion.

The Deficiency tags were as follows:

Tag 0273 (10 times) – Food and Nutritional Services for failure to ensure an organized food service department directed by a supervisor competent in food service management and knowledgeable in sanitation standards, food handling, food preparation, and meal service. (1) The supervisor must be one (1) of the following: (A) Dietitian (B) A graduate or student enrolled in and within one (1) year from completing a division approved, minimum ninety (90) hour classroom instruction course that provides classroom instruction in food service supervision who has a minimum of one (1) year of experience in some aspect of institutional food service management. (C) A graduate of a dietetic technician program approved by the American Dietetic Association. (D) A graduate of an accredited college or university or within one (1) year of graduating from an accredited college or university with a degree in foods and nutrition or food administration with a minimum of (1) year of experience in some aspect of food service management. € An individual with training and experience in food service supervision and management. (2) If the supervisor is not a dietitian, a dietitian shall provide consultant services on the premises at peak. periods of operation on a regularly scheduled basis. (3) Food service staff shall be on duty to ensure proper food preparation, serving, and sanitation.

Tag 0036 (5 times) – Residents’ Rights for failure to immediately consult the resident’s physician and the resident’s legal representative when the facility 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.

Tag 0090 (4 times) – Administration and Management for failure to inform the division within twenty-four (24) hours of becoming aware of an unusual occurrence that directly threatens the welfare, safety, or health of a resident. Notice of unusual occurrence may be made by telephone, followed by a written report, or by a written report only that is faxed or sent by electronic mail to the division within the twenty-four (24) hour time period. Unusual occurrence include, but are not limited to: (A) epidemic outbreaks; (B) poisonings; (C) fires; or (D) major accidents.

Tag 0272 (3 times) – Food and Nutritional Services for failure to ensure food was served at a safe and appropriate temperature.

Tag 0117 (2 times) – Personnel for failure of staff to be sufficient in numbers, qualification, and training in accordance with applicable state laws and rules to meet the twenty-four (24) hour scheduled and unscheduled needs of the residents and services provided.

Tag 0145 (2 times) – Sanitation and Safety for failure of the facility to maintain equipment and supplies in a safe and operational condition and in sufficient quantity to meet the needs of the residents.

Tag 0187 (2 times) – Physical Plant for failure of hot water temperature for all bathing and hand washing facilities to be controlled by an automatic control valve. Water temperature at point of use must be maintained between one hundred (100) degrees Fahrenheit and one hundred twenty (120) degrees Fahrenheit.

Tag 0217 (2 times) – Evaluation for failure to ensure following an evaluation, the facility, using appropriately trained staff members, shall identify and document the services to be provided by the facility, as follows: 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 subsequent to 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.

Tag 0246 (2 times) – Health Services for failure to ensure errors in medication administration were documented in the resident’s medical record. Notification of the physician of errors including any actual or potential detrimental effects to the resident related to medication errors.

Tag 0247 (2 times) – Health Services for failure of the facility to have available on the premises or on call the services of a licensed nurse always.

Deficiency tags 0086, 0118, 0154, 0191, 0241, 0243, 0268, 0300, 0302, and 0304 were cited a single time in the month of July.

If you have questions or would like to have assistance with survey readiness, email ldavenport@ihca.org.