Becky's Rest Home #2

The facility failed to ensure residents' freedom to use the common dayroom without staff interference. Specifically, two staff members were observed sleeping on the sofa and a recliner chair in the dayroom for a period of approximately three to four weeks.

The facility failed to ensure residents' rights were maintained regarding their freedom to use the common dayroom without hindrance. Two staff members were found to be sleeping on a sofa and recliner chair in the dayroom for a period of approximately three to four weeks. This presence made a resident feel uncomfortable and intruded upon the residents' space.

The facility failed to ensure that food being stored was protected from contamination. Specifically, multiple items in the commercial freezer and refrigerator, including various vegetables, meats, and sauces, were not dated when they were opened.

The facility failed to ensure that food being stored was protected from contamination. Specifically, multiple items in the commercial freezer and refrigerator, including various frozen vegetables, meats, and sauces, were not dated when they were opened.

The facility failed to ensure food items were protected from contamination by failing to properly date opened food products. Observations in the commercial freezer, kitchen refrigerator, and porch refrigerator revealed numerous items, including vegetables, sauces, and dressings, that were not dated when opened or lacked expiration dates. Additionally, some produce was found to be decaying.

The facility failed to administer medications in accordance with physician orders. Specifically, Resident #3 was administered 20mg of atorvastatin daily instead of the prescribed 40mg dose from December 2016 through early March 2017. The Resident Care Coordinator stated they were unaware of the change in physician orders.

The facility failed to administer atorvastatin and Levemir insulin as prescribed to a resident. Specifically, while a physician's order increased the atorvastatin dose to 40mg daily, the resident continued to receive only 20mg daily as documented in the medication administration records.

The facility failed to provide residents with care and services that were adequate, appropriate, and in compliance with relevant federal and state laws and regulations. Specifically, the facility failed to meet requirements regarding TB testing for facility staff and medication staff qualifications.

The facility failed to ensure that 3 of 5 sampled staff members (Staff A, B, and C) were tested for tuberculosis disease upon employment in compliance with established control measures. Interviews revealed that testing delays occurred because the facility relied on a pharmacy RN whose availability was limited by other professional responsibilities.