Pine Creek Rehabilitation and Nursing, Salt Lake City, UT — Violations & Inspection Reports

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Respond appropriately to all alleged violations.

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.

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Provide timely, quality laboratory services/tests to meet the needs of residents.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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.

Ensure that paid feeding assistants have the training they need.

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

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Ensure medication error rates are not 5 percent or greater.

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Keep complete, dated laboratory records in the resident's record.

Keep signed and dated reports of x-rays and other diagnostic services in the residents record.

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Provide and implement an infection prevention and control program.

Implement a program that monitors antibiotic use.

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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.