Lexington Premier Nursing & Rehab, Lexington, KY — Violations & Inspection Reports

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Assure that each resident’s assessment is updated at least once every 3 months.

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Protect each resident from the wrongful use of the resident's belongings or money.

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Ensure that residents are free from significant medication errors.

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Provide safe and appropriate respiratory care for a resident when needed.

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Provide enough food/fluids to maintain a resident's health.

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.