Applewood Our House Assisted Living Facility 5 LLC

A relicensure survey was completed on 12/26/23. A deficiency was cited. Based on observation, record review and interview, the residence failed to ensure qualified medication administration persons (QMAPs) followed national recognized protocols for basic infection control and prevention when preparing and administering medications, affecting two of three residents (#2, #3).Findings Include:1. Residence policyThe residences "Medication Preparation and Handling" policy, dated July 2018, read in part; "Qualified medication administration persons are trained in and required to apply nationally recognized protocols for basic infection control and prevention when preparing and administering medications."2. ObservationOn 12/26/23 from 8:07 a.m. to 8:24 a.m., the following was observed:Staff #1 touched her keys, phone, the medication cart, and did not perform hand hygiene. Staff #1 poured aspirin into her hand and placed it into the medication cup for Resident #2. Staff #1 continued to place each medication for Resident #1 into her hand then placed the medication into the medication cup. Staff #1 administered medications to Resident #2. After Resident #2 was finished Staff #1 threw the medication cup away and began preparing medications for Resident #3 and did not perform any hand hygiene. Staff #1 touched her keys, phone, the medication cart, and grabbed a medication cup. Staff #1 poured medication from the blister pack directly into her hand then placed the medication into the medication cup for Resident #3. Staff #1 then poured a medication from a bottle into her hand and placed the medication from her hand into the medication cup. Staff #1 administered medications to Resident #3.3. InterviewOn 12/26/23 at 12:08 p.m., Staff #1 stated she placed medication into her hand from the bottle and then placed it into the medication cup. She stated this was her method for medication administration.On 12/26/23 at 12:35 p.m. the administrator stated her expectation was for QMAP to follow nationally recognized protocols for infection control and prevention when preparing and administering medica..