Americares Adult Homes #2

The facility failed to ensure proper health care coordination and follow-up for a resident. Specifically, the facility did not obtain a required follow-up chest scan for a resident following a diagnosis of pneumonia and failed to coordinate a requested sleep study for obstructive sleep apnea.

The facility failed to ensure medications were administered as ordered for a resident. Observations and reviews indicated errors with medications being administered in a manner not in accordance with physician orders.

The facility failed to ensure health care coordination and follow-up for a resident. Specifically, staff failed to obtain a follow-up chest scan after the resident had pneumonia and failed to coordinate a referral for a sleep study to evaluate for obstructive sleep apnea.

The facility failed to ensure proper health care coordination and follow-up for a resident. Specifically, the facility failed to obtain follow-up lab work, failed to coordinate various therapies (physical, speech, and podiatry), and failed to notify the primary care provider regarding low blood pressure readings and significant weight loss.

The facility failed to ensure that all referrals and follow-up orders were carried out as per provider orders and scheduled. This includes a failure to properly coordinate and document routine and acute health care needs.

The facility failed to ensure that nutritional supplements were served as ordered to a resident. Specifically, the resident had orders to receive nutritional supplements with meals that were not met.

The facility failed to ensure contact with the resident's physician or prescribing practitioner for verification or clarification of medication orders for two residents. This included orders for blood pressure medication, anxiety medication, and blood pressure parameters.

The facility failed to ensure medications were administered as ordered for 2 of 3 residents sampled. The administration did not align with the orders of the licensed prescribing practitioner or the facility's policies and procedures.

The facility failed to ensure medications were administered according to physician orders for 2 of 3 sampled residents. Specifically, errors were identified involving a medication for nerve pain, a long-acting insulin, and a controlled substance for pain management.

The facility failed to ensure medications were administered according to physician orders for 2 of 3 sampled residents. Specifically, for Resident #1, insulin (Tresiba) was administered on multiple occasions when blood sugar levels were below the ordered threshold of 100 mg/dL.

The facility failed to ensure that a resident's medical examination (FL2) was completed within 72 hours of an emergency admission. For Resident #2, who was admitted on 12/21/23, the most recent examination on file was dated 02/23/23, and no new examination was requested during the physician's visit on 01/10/24.

The facility failed to ensure that the medical examination date on a resident's FL-2 was within 72 hours of an emergency admission. Specifically, Resident #2 was admitted on 12/21/23, but the existing FL-2 was dated 02/23/23.

The facility failed to ensure medications were administered as ordered for one resident. Specifically, long-acting insulin was documented as administered on two occasions when the resident's blood sugar was below the required threshold of 100.