Abundant Living # 1

The facility failed to ensure proper referral and follow-up for a resident's healthcare needs regarding foot care. Specifically, the facility did not add a physician's order for Wart Peel to the resident's medication administration record or treatment administration record, and failed to provide the medication for administration.

The facility failed to maintain matching therapeutic diet menus for all physician-ordered diets. Specifically, there was no mechanical soft diet menu available to guide staff, resulting in a resident being served whole hotdogs and fries despite having a mechanical soft diet order.

The facility failed to provide a matching therapeutic diet menu for a resident ordered a mechanical soft diet. During observation, the kitchen menu did not include a mechanical soft option, and the resident was observed being served whole hotdogs, fries, and pickles instead of the required texture.

The facility failed to maintain an accurate and current listing of residents with physician-ordered therapeutic diets. A resident ordered a mechanical soft diet, but the diet list posted in the kitchen incorrectly listed the resident as being on a regular diet.

The facility failed to maintain clean and good repair of floors and walls in the living and dining rooms. Specifically, the dining room had a rolled-up red carpet edge, torn linoleum floor covering, and food particles splattered on the walls near the garbage can.

The facility failed to maintain clean and well-repaired floors and walls in the living and dining rooms. Specific issues included a torn linoleum floor, a rolled carpet edge creating a wheelchair obstacle, and significant food splatters and dark stains on walls and floors. Additionally, tile grout and various floor surfaces exhibited heavy dirt build-up and smears.

The facility failed to provide documentation that the mandatory annual in-service training on infection control was completed for one medication aide. A review of the employee record showed no documentation of the required training due on 1/10/16.

The facility is prohibited from allowing staff to perform unsupervised medication aide duties without meeting specific training and competency evaluation requirements.

The facility failed to provide documentation of the state mandatory annual in-service training program on infection control for one medication aide. While training was documented for previous periods, no documentation was provided for the training due by January 10, 2016.

The facility failed to ensure that one medication aide had a medication administration clinical skills evaluation completed before performing medication administration duties. The employee record for Staff A lacked evidence of this required clinical skills evaluation.

The facility failed to ensure that Licensed Health Professional Support (LHPS) on-site reviews and evaluations were completed for three sampled residents requiring finger stick blood glucose checks and medication administration via injections. Specifically, for Resident #1, there was no documentation of an LHPS evaluation within 30 days of admission or any subsequent quarterly evaluations.