Absolute Care Family Care II

The facility failed to properly cross-reference all incoming provider orders, such as faxes, emails, or hospital discharge forms, with the Medication Administration Record (MAR). There was a lack of consistent procedure to ensure missing orders were faxed to the pharmacy for MAR updates.

Med Techs required re-education regarding the six rights of medication administration and proper eMAR documentation. Specifically, staff needed instruction on the correct procedure for clicking off medications in the eMAR once a medication is pulled and prepared for a resident.

Med Techs failed to ensure that all residents receiving oxygen PRN or scheduled had orders including parameters for use, amount, and frequency. Additionally, staff were not consistently using the Telmediq app or facility tablets to notify providers of changes in resident status.

The facility failed to ensure follow-up to meet the acute health care needs of a resident. Specifically, staff failed to notify the resident's primary care provider when pulse oximeter readings fell to 86%, 84%, 86%, and 89%, which were all at or below the established threshold of 89%.

The facility failed to ensure proper tuberculosis testing for residents. Specifically, one resident lacked an initial TB test upon admission, and all three sampled residents lacked a required second TB test since their admission.

The facility failed to maintain matching therapeutic diet menus for staff guidance. For two of the three sampled residents, there were no available menus for physician-ordered low carbohydrate diabetic diets.

The facility failed to ensure that residents received required tuberculosis testing upon admission and subsequent testing. Specifically, one resident lacked an initial TB test upon admission, and three sampled residents had no documentation of a second TB test since their admission.

The facility failed to ensure proper tuberculosis testing for residents upon admission and during residency. Specifically, one resident lacked an initial TB test upon admission, and three sampled residents had no documentation of a second TB test since their admission.

The facility failed to ensure that residents received required tuberculosis testing upon admission and subsequent testing. Specifically, one resident lacked an initial TB test upon admission, and three sampled residents had no documentation of a second TB test since their admission.