Athome Senior Care Services LLC

Based on documentation review, record review, and interview, the health care institution failed to ensure the health care institution developed and administered a training program for all staff regarding fall prevention and fall recovery that included initial training and continued competency training for one of two personnel sampled. The deficient practice posed a health and safety risk for residents. Findings include: 1. A review of the facility's policies and procedures revealed a policy titled "Fall Prevention & Recovery Training." The policy stated, "The training program requires initial training and continued competency review on an annual basis in fall prevention and fall recovery." 2. A review of E1's personnel record revealed completed training on fall prevention and fall recovery on March 1, 2024. However, additional documentation was not available for review. 3. In an interview, the findings were reviewed with E3, and no additional information was provided.

Based on documentation review and interview, the manager failed to ensure that a plan was implemented for an ongoing quality management program which included a method to collect data to evaluate services provided to residents. Findings include: 1. A review of the facility's policies and procedures revealed a policy titled "Reporting / Data Collection." The policy stated, "A method to evaluate the data collected to identify a concern about the delivery of service related to resident care; Maintain a line graph for each of the above to identify the trends from month to month..." 2. A review of the facility's quality management documentation revealed a monthly report, dated September 29, 2025. However, documentation of a line graph, per policies and procedures, was not available for review. 3. In an exit interview, the findings were reviewed with E3, and no additional information was provided.

Based on record review and interview, the manager failed to ensure the caregiver documented the services provided in the resident's medical record, for one of two residents reviewed. The deficient practice posed a risk as services could not be verified as provided against a service plan. Findings include: 1. A review of R1's medical record revealed a service plan, dated September 24, 2025, that indicated R1 required the following services: Shower, twice a week; Partial bath, as needed (PRN); Full assistance with dressing; Full assistance with grooming; Set up assistance with brushing teeth; Nail cleaning, twice a week; Room maintenance and laundry services; Lotion, PRN; Brief checks, every 2-3 hours; Brief changes, PRN; Resident checks, every 3-4 hours at night; Activities of choice, as tolerated. 3. A review of R1's activities of daily living (ADL) documentation did not include documentation of all aforementioned services provided to R1 October 24, 2025 - present. 4. In an interview, E3 reported all aforementioned services were provided to R1 October 24, 2025 - present. 5. In an exit interview, the findings were reviewed with E3, and no additional information was provided.