Agape Care Family Homes #2

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The facility failed to ensure that one of three sampled residents had an assessment and care plan updated annually. Specifically, the resident's existing care plan was outdated, and the administrator could not produce a current version for review during the survey.

The facility failed to ensure that one of three sampled residents had an assessment and care plan updated annually. Specifically, the resident's care plan was outdated, and the administrator could not provide a current copy for review.

The facility failed to administer medication as ordered for one of three sampled residents. A physician's order for amlodipine 5mg daily was not documented in the medication administration record, and the medication was not available for administration during the survey.

The facility failed to ensure the resident was free of exploitation by using the resident's United Healthcare Dual Complete card to purchase food and meat for the entire facility. The Administrator used the resident's monthly funds for facility-wide pantry supplies instead of allowing the resident to use the funds for his own personal needs. This occurred despite the resident having cognitive impairments and no legal guardian or responsible party.

The facility failed to ensure that a resident's rights were free of exploitation. The Administrator used a resident's UHC Dual Complete funds to purchase food and pantry items for the entire facility rather than for the resident's individual use.

The facility failed to ensure walls, ceilings, and floors were kept clean and in good repair. Specifically, there were missing windowpanes in the kitchen and a bedroom, a gap in a sliding glass door frame secured by a wooden stick, and an unsealed window air conditioner unit in the dining area.

The Administrator failed to review pharmaceutical reviews and follow up on recommendations on a quarterly basis following the completion of reviews.

The Administrator failed to perform weekly audits of medications within the facility and failed to ensure medications were available according to residents' medication orders.

The facility failed to ensure the first step of the TB skin test was completed prior to the date of hire and that the second step was completed within one week of hire.

The facility failed to maintain walls, ceilings, and floors in good repair. Specific issues included closet doors being off their hinges, a gap in a sliding glass door that could allow insects to enter, and a broken door lock that required a wooden stick to keep the door closed.

The facility failed to ensure two of three exits were free from obstructions. Specifically, discarded mattresses were blocking the ramp at the rear exit, and a large dresser was obstructing the sliding glass door in a resident bedroom, preventing easy access to the door latch.