Ann's New Day

The facility failed to ensure that 3 out of 3 sampled residents were tested for Tuberculosis (TB) disease using the required 2-step testing method. Specifically, records for residents #1, #2, and #3 showed documentation of a 1st step test but lacked documentation of a 2nd step test or a chest x-ray. The Area Manager stated she was unaware that a 2nd step TB test was required.

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The facility failed to ensure all food items stored in the refrigerator and freezer were protected from contamination by using proper labels. Specifically, multiple items including cooked ribs, rice, vegetables, chicken thighs, and uncooked patties were found without required date opened or date cooked labels.

The facility failed to ensure that a staff member (Staff A) who was performing unsupervised medication administration duties had successfully completed the required written medication aide examination. While the staff member had completed training and clinical skills validation, there was no documentation of a passing score on the mandatory state-developed examination.

The facility failed to ensure that a sampled staff member (Staff A) had successfully completed the required written medication aide examination. Although the staff member completed clinical skills competency and initial training, the required DHSR-administered examination was not documented.

The facility failed to maintain water temperatures between 100 and 116 degrees Fahrenheit. Surveyors observed water temperatures as high as 133 degrees Fahrenheit in the kitchen and various bathrooms, with steam visible from several fixtures.

The facility failed to maintain hot water temperatures in resident accessible areas within the required range of 100 to 116 degrees Fahrenheit. Observations revealed temperatures as high as 121.1 degrees Fahrenheit at various sinks and showers. Additionally, the Administrator was unaware of the high temperatures and could not locate the facility's thermometer.

The facility failed to ensure that one sampled staff member was tested for Tuberculosis (TB) disease using the required 2-step testing method. Specifically, documentation showed the employee had single skin tests but lacked a 2-step test completed within a 12-month period.