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Date ArticleType
Residential Citation Update - September 2018

The Indiana State Department of Health conducted a total of 8 surveys and of those, three (37.50) were found deficiency-free.  There were 9 Offense tags cited, 41 Deficiency tags cited for a total of 50 residential citations for the month of September 2018.  The following Offensive tags were cited:

Tag 0241 (4 times) – Health Services Offense for failure to ensure the administration of medications and 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 (3 times) -- Residents’ Rights Offense for failure to ensure 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 0245 (1 time) – Health Services Offense for failure to ensure injectable medications are given only by licensed personnel. 

Tag 0406 (1 time) – Infection Control Offense for failure to establish and maintain an infection control practice designed to provide a safe, and comfortable environment and to help prevent the development and transmission of disease and infection. 

The following Deficiency tags were cited:

Tag 214 (5 times) -- Evaluation Deficiency for failure to ensure an evaluation of the individual needs of each resident is initiated prior to admission and updated at least semiannually and upon a known substantial change in a resident condition, or more often at the request of the resident or facility. A licensed nurse will evaluate the nursing needs of the resident.

Tag 0217 (4 times) – Evaluation Deficiency for failure to ensure following completion of an evaluation, the facility, using appropriately trained staff members, identified and documented the services to be provided by the facility as follows:  1) The services offered to the individual resident are appropriate to scope, frequency, need and preference of the resident.

Tag 0273 (4 times) – Food and Nutritional Services Noncompliance for failure to ensure an organized food service department directed by a supervisor competent in food service management and knowledge in sanitation standards, food handling, food preparation and meal service.

Tag 0144 (3 times) – Sanitation and Safety Standards Deficiency for failure to ensure the facility was clean, orderly, and in a state of good repair, both inside and out, and shall provide reasonable comfort for all residents.
0155 (3 times) – Sanitation and Safety Standards Deficiency for failure to ensure an effective garbage and waste disposal program in accordance with 410 IAC 7-24.  Provision shall be made for the safe and sanitary disposal of solid waste, including dressings, needles, syringes, and similar items. 

0090 (2 times) – Administration and Management Deficiency 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.

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

Tag 0298 (2 times) – Pharmaceutical Services Deficiency failure to ensure a consultant pharmacist is employed, or under contract, and (A) be responsible for the duties as specified in 856 IAC 1-7;

Single citations were received as follows:
Tag 0035 – Residents’ Rights
Tag 0036 – Residents’ Rights
Tag 0053 – Residents’ Rights
Tag 0117 – Personnel Deficiency
Tag 0147 –Sanitation and Safety Standards Deficiency
Tag 0154 –Sanitation and Safety Standards Deficiency
Tag 0187 –Physical Plant Standards Deficiency
Tag 0243 – Health Services Deficiency
Tag 0246 – Health Services Deficiency
Tag 0247 – Health Services Deficiency
Tag 0301 – Pharmaceutical Services Deficiency
Tag 0304 – Pharmaceutical Services Deficiency
Tag 0383 – Mental Health Screening Deficiency
Tag 0414 – Infection Control Deficiency

Please forward questions and/or request for assistance with survey readiness to ldavenport@ihca.org.