Angel House VI

The facility failed to ensure necessary medical referral and follow-up for a resident. Specifically, there was no documentation that a physician-ordered CT scan was completed, nor was there evidence of a required follow-up appointment with a urologist. Staff turnover and lack of chart reviews contributed to the failure to schedule these essential services.

The facility failed to ensure necessary medical follow-up for a resident, specifically failing to schedule a prescribed CT scan and a urology follow-up. Additionally, the facility failed to inform the resident's primary care provider regarding an emergency 911 call involving cardiac symptoms and a recommendation for a cardiology evaluation.

The facility failed to provide the required minimum of 14 hours of planned group activities per week. Observations and interviews revealed that scheduled activities, such as walking and resident choice activities, were not announced, offered, or provided as documented on the activity calendar.

The facility failed to ensure necessary referral and follow-up care for a resident requiring podiatry services. Specifically, the facility did not follow up on a recommendation for a podiatry appointment and an A1C test, resulting in a missed appointment for toenail care.

The facility failed to ensure that for one resident, laboratory work ordered by a physician was obtained. Records showed orders for white blood count (WBC) checks and requests for recent lab results, but no lab results had been received since the resident's admission.

The facility failed to ensure that physician orders were administered and documented as prescribed for one resident. Specifically, while the resident was ordered to take Latuda with at least 350 calories, the Medication Administration Records (MAR) showed no documentation that the required calorie intake was being met with the medication.

The facility failed to ensure that physician-ordered lab work was obtained for one resident. This failure prevented the facility from meeting the resident's routine and acute health care needs.

The facility failed to ensure physician orders were administered and documented as ordered for one resident. Specifically, there was no documentation in the Medication Administration Record (MAR) to confirm that the required 350 calories were consumed with the administration of Latuda.