B.j.'s Family Care Home

The facility failed to ensure medications were administered according to physician orders for one resident. Specifically, the facility continued to use an outdated dosage of verapamil 80mg and failed to properly document the administration of the new prescribed dose of verapamil 120mg ER.

The facility failed to properly administer and document medications for Resident #1 following a change in physician orders. Specifically, there was no documentation of verapamil administration from 09/01/24 to 09/07/24, and the medication aide failed to update the MAR to reflect the transition from verapamil 80mg three times daily to verapamil 120mg ER once daily.

The facility failed to administer medications as ordered by the physician. Despite orders from the primary care provider dated 06/13/24 for the routine administration of PEG 3350 for constipation, the facility's administration of this medication was inconsistent with the established medical orders.

The facility failed to document the application or removal of lidocaine 5% patches for Resident #3 from 09/24/21 through 09/30/21. Additionally, there was no documentation on the Medication Administration Record (MAR) explaining why the patches had not been applied despite the resident's refusal.

The facility failed to document the administration of menthol/m-salicylate 10-15% topical cream for Resident #3 from 09/26/21 through 09/30/21. The Medication Administration Record (MAR) showed no entries for the scheduled 8:00am, 2:00pm, and 8:00pm doses during this period.

The facility failed to ensure primary care provider notification for a resident who refused pain medication. Specifically, there was no documentation on the medication administration record explaining why lidocaine 5% patches had not been applied since they were dispensed.

The facility failed to ensure primary care provider notification for a resident who refused pain medication. Specifically, there was no documentation on the medication administration record explaining why lidocaine 5% patches had not been applied since they were dispensed.

The facility failed to provide adequate supervision for a resident with schizophrenia and wandering behaviors, resulting in the resident eloping from the facility twice. Specifically, the facility failed to document necessary interventions or increased supervision in the resident's record following an incident where the resident went missing for several hours.

The facility failed to provide adequate supervision for residents in accordance with their assessed needs and care plans. Specifically, for one resident with schizophrenia, there was no documentation of interventions or increased supervision following an incident where the resident went missing. Additionally, the resident's care plan lacked updated mental health history and failed to address wandering behaviors.

The facility failed to ensure physician notification and follow-up for a resident's health care needs. Specifically, the facility failed to document fingerstick blood sugar results twice daily as ordered for one resident during September and early October 2019 because the resident's glucometer had stopped working.