Americares Adult Homes #1

The facility failed to ensure proper referral and follow-up with primary care providers for residents. Specifically, the facility did not follow up for a resident who had multiple falls resulting in emergency department visits, nor for a resident with ordered blood pressure parameters.

The facility failed to ensure necessary referrals and follow-up care with primary care providers for residents. Specifically, for one resident with multiple falls and emergency department visits, there was no documentation of the facility notifying the physician or requesting follow-up appointments following several hospital visits.

The facility failed to ensure proper health care referral and follow-up for a resident requiring an intramuscular injectable psychotropic medication. Specifically, a scheduled Abilify Maintera injection due on 06/22/23 was not administered until 07/05/23 because the home health skilled nurse had not visited the facility. This lapse in follow-up resulted in the resident becoming highly agitated.

The facility failed to ensure that one of five sampled staff members administering medications had completed the required medication aide employment verification or state-approved medication administration training courses. Specifically, the staff member's file lacked valid verification for several 24-month periods and lacked a certificate for the 5-hour, 10-hour, or 15-hour training courses.

The facility failed to ensure that one of five sampled medication aides had completed the required medication aide employment verification or state-approved medication administration training courses. Specifically, personnel records for Staff E lacked sufficient verification of qualified work for several 24-month periods and lacked certificates for the required 5-hour, 10-hour, or 15-hour training courses.

The facility failed to ensure staff was available to provide supervision to residents with mental health diagnoses or cognitive impairments. On 09/15/20, telephone calls and resident interviews revealed that no staff were present in the facility because all staff members were attending a meeting at a sister facility. This left residents, including those needing help with activities of daily living, completely unsupervised.

The facility failed to ensure staff was available to provide supervision to residents with mental health diagnoses and/or cognitive impairments. On 09/15/20, staff left residents unsupervised for approximately 46 minutes while attending a meeting at a sister facility. This left residents, including those with neurocognitive disorders and those requiring assistance with ADLs, without any staff present in the building.