Angels at Heart Family Care Home

The facility failed to maintain a clean and hazard-free environment due to the presence of dead bedbug remnants and brown stains underneath mattresses in multiple resident rooms. Staff and management were largely unaware of the presence of these bedbug indicators.

The facility failed to conduct and document required quarterly fire evacuation rehearsals. Records showed no documentation of fire drills being performed since December 2023.

The facility failed to maintain a clean and orderly environment free of hazards related to bedbugs. Inspectors observed remnants of dead bedbugs and brown stains underneath mattresses in resident rooms 3, 5, and 6. Staff interviews indicated that the facility had not likely been treated for bedbugs since December 2023.

The facility failed to ensure that Resident #1 had documented tuberculosis skin test results upon admission. Records showed an old test from 2011 but lacked the necessary documentation required for a new admission.

The facility failed to ensure that two of three sampled staff members (Staff A and Staff B) had documentation of a second required tuberculosis skin test. While initial tests were documented, there was no evidence that the subsequent testing required by protocol had been completed or recorded in their personnel files.

The facility failed to ensure that 2 of 3 sampled staff members were tested for tuberculosis disease in compliance with required control measures upon hire. Specifically, documentation was missing for a second TB skin test for one staff member.

The facility failed to maintain hot water temperatures within the required range of 100 to 116 degrees Fahrenheit. Observations showed temperatures as high as 126 degrees Fahrenheit at the kitchen sink and various bathroom fixtures. Additionally, water temperature logs lacked specific times and fixture details for several documented entries.

The facility failed to maintain hot water temperatures at a minimum of 100 degrees F and a maximum of 116 degrees F for four resident fixtures, including sinks and showers. Specifically, temperatures were observed as high as 126 degrees F in the kitchen and 124 degrees F in bathrooms. Additionally, the facility failed to maintain consistent temperature logs for October, November, and December 2022.

The facility failed to maintain hot water temperatures within the required range of 100 to 116 degrees Fahrenheit. Observations showed that four out of four tested fixtures, including kitchen and bathroom sinks and showers, exceeded the maximum temperature limit.

The facility failed to ensure physician notification for medication refusals. Specifically, for Resident #2, there was no documentation that the primary care physician was notified of frequent refusals of a Lidocaine 5% patch during February and March 2021.