Absolute Care Family Care Home

The facility failed to ensure residents' rights were maintained regarding the misappropriation of funds for one resident. Specifically, the resident was not provided with the required monthly State-County Special Assistance personal needs allowance, the cost of care rate exceeded the maximum allowed for SA recipients, and the resident did not receive an accurate cost of care settlement upon discharge.

The facility failed to ensure residents' rights were maintained regarding the misappropriation of funds for one resident. Specifically, the resident was not provided with the required monthly State-County Special Assistance personal needs allowance, the facility's cost of care rate exceeded the maximum allowed for SA recipients, and the resident did not receive an accurate cost of care settlement upon discharge.

The facility failed to maintain matching therapeutic diet menus for physician-ordered diets to guide food service staff. Specifically, two residents with orders for a low carbohydrate diabetic diet did not have corresponding menus available in the kitchen, making it impossible to determine if appropriate meals were being served.

The facility failed to maintain matching therapeutic diet menus for all physician-ordered diets to guide food service staff. Specifically, two residents with physician orders for a low carbohydrate diabetic diet were not provided with appropriate menu guidance, and the cook was unaware of their specific dietary needs.

The facility failed to ensure proper referral and follow-up for a resident with dysphagia, GERD, and esophageal issues. Specifically, a required follow-up appointment with a gastroenterologist was missed and not rescheduled, placing the resident at risk for aspiration and pneumonia.

The facility failed to provide the necessary therapeutic diet required to improve a resident's ability to swallow safely. Despite the resident exhibiting coughing during meals and having a diagnosis of dysphagia, the resident continued to be served a regular diet instead of a modified mechanical soft diet.

The facility failed to ensure proper referral and follow-up for a resident's medical needs. Specifically, a resident missed a scheduled telehealth appointment with a gastroenterologist, and the facility failed to respond to the specialist's attempts to reschedule the appointment.

The facility failed to ensure proper referral and follow-up for a resident following a hospital discharge. Specifically, a resident with dysphagia missed a scheduled telehealth appointment with a gastroenterologist, and the facility failed to respond to the specialist's attempts to reschedule the appointment.

The facility failed to ensure physician notification for two residents, specifically failing to document physician notification for a 7.8-pound weight loss in one week for Resident #2. Additionally, the facility failed to document physician notification regarding Resident #1's refusal to wear TED hose to prevent the progression of bilateral lower extremity edema.