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Date ArticleType
6/4/2018 Regulatory
April Residential Care Citations

The ISDH conducted nine surveys in the month of April 2018 and of those, three (3%) were deficiency-free.  There was a total of sixty-two residential tags cited with eleven of them Offense tags. 

Offense tags were cited as follows: 

Tag 0241 (4 times) Health Services Offense for failure to ensure medication administration and provision of nursing services was as ordered by the physician and supervised by a licensed nurse on call or on premises. 

Tag 0242 (4 times) Health Services Offense for failure to observe for undesirable effects of medications.  Failure to ensure documentation of the undesirable medication effects are contained in the clinical record and physician notification of those findings.

Tag 0052 (2 times) Residents’ Right Offense for failure to ensure residents were free from abuse of any kind -- (sexual, physical, mental, corporal punishment, neglect, and involuntary seclusion).

Tag 0406 (1 time) Infection Control for failure to establish and maintain an infection control practices designed to provide a safe sanitary comfortable environment to help prevent the spread of disease and infections. 

Deficiency tags were cited as follows:

Tag 0273 (7 times) Food and Nutritional Services Deficiency for failure to ensure all food preparation and serving areas (excluding areas in resident’s units) are maintained in accordance with state and local sanitation and safe food handling standards, including IAC 7-24.

Tag 0214 (5 times) Evaluation Deficiency for failure to ensure an evaluation of the individual needs of each resident is initiated prior to admission and shall be updated at least semiannually and upon a known substantial change in the resident’s condition, or more often at the resident’s facility’s request.  A licensed nurse shall evaluate the nursing needs of the resident. 

Tag 0117 (4 times) Personnel Deficiency for failure to ensure staff is sufficient in number, qualifications, and training in accordance with applicable state laws and rules to meet the twenty-four (24) hours scheduled and unscheduled needs of the residents and services provided. 

Tag 0036 (3 times) Residents’ Rights Deficiency for failure to ensure the physician and or the resident’s legal representative was immediately notified when the facility has noticed a decline in the resident’s physical, mental, psychosocial status; or 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 (3 times) Administration and Management Deficiency for failure to ensure the division is notified timely (within 24 hours) of becoming aware of an unusual occurrence that directly threatens the welfare, safety, or health of a resident. 

Tag 0148 (2 times) Residents’ Rights Deficiency for failure to ensure prior to any interfacility or involuntary intrafacility relocation, the facility prepares a relocation plan for continuity of care. 

Tag 0240 (2 times) Health Services Deficiency for failure to ensure personal care, assistance with activities of daily living is provided based upon individual needs and preferences. 

Tag 0217 (2 times) Evaluation Deficiency for failure to ensure completion of an evaluation. 

Tag 0246 (2 times) Health Services for failure to ensure PRN medications that are given by QMA are always with authorization from the licensed nurse or physician and documented each time within the clinical record.

Tag 0300 (2 times) Pharmaceutical Services Deficiency for failure to ensure over-the-counter medications, prescriptions drugs, and biologicals used in the facility are labeled in accordance with currently accepted professional principles and include the appropriate accessory and cautionary instructions and the expiration date. 

If you have questions or need assistance, email ldavenport@ihca.org