Beehive Homes of Page - Grandview

Based on record review and interview, the manager failed to ensure that one of three sample resident records contained evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113. Findings include: 1. The record for R1 contained no documentation of freedom from TB. Based on the resident's date of acceptance, this documentation was required. 2. During an interview, E1 acknowledged that the record did not contain current evidence of freedom from TB.

Based on documentation review and interview, the manager failed to ensure that a quality management plan is established, documented and implemented that includes the frequency of submitting a documented report to the governing authority. Findings include: 1. The facility quality management plan did not include the frequency of submitting a documented report to the governing authority. 2. During an interview, E1 acknowledged the required documentation was not included in the facility quality management plan. This is a repeat deficiency from the compliance inspection conducted on September 29, 2022.

Based on record review and interview the manager failed to ensure that two of three sample resident records contained service plans that when updated, were signed and dated by the resident or resident's representative. Findings include: 1. The record for R2, contained a service plan dated October 6, 2023 that did not contain the dated signature of the resident or the resident's representative. 2. The record for R3, contained a service plan dated August 2, 2023 that did not contain the dated signature of the resident or the resident's representative. 3. During an interview, E1 acknowledged that the service plans did not reflect the required dated signature. This is a repeat deficiency from the compliance inspections conducted on November 3, 2021 and September 29, 2022.

Based on record review and interview the manager failed to ensure that two of three sample resident records contained documentation of a written service plans that when updated, were signed and dated by the manager or the manager's designee. Findings include: 1. The record for R2, personal care, contained a service plan dated October 6, 2023 that did not contain the dated signature of the manager or the manager's designee. 2. The record for R3, personal care, contained a service plan dated August 2, 2023 that did not contain the dated signature of the manager or the manager's designee. 3. During an interview, E1 acknowledged that the resident's service plan did not reflect the required dated signature.

Based on record review and interview, the manager failed to ensure that three of three sample resident records contained documentation of a service plan that when updated, was signed and dated by the nurse or medical practitioner who reviewed the service plan. Findings include: 1. The record for R1 (personal care, receiving medication administration services), contained a service plan dated June 6, 2023 that did not reflect the dated signature of the nurse or medical professional who reviewed the plan. 2. The record for R2 (personal care, receiving medication administration services), contained service plans dated April 4, 2023 and October 10, 2023 that did not reflect the dated signature of the nurse or medical professional who reviewed the plan. 3. The record for R3 (personal care, receiving medication administration services), contained service plans dated January 20, 2023 and August 2, 2023 that did not reflect the dated signature of the nurse or medical professional who reviewed the plan. 4. During an interview, E1 acknowledged that the service plans did not reflect the dated signature of the nurse or medical professional.

Based on record review and interview for three of three sample resident and employee records, the manager failed to ensure that medication administered to a resident is administered by an individual under direction of a medical practitioner. Findings include: 1. During an interview, E1 indicated that E1, E2, and E3 administer medications to residents. 2. Review of the records for R1, R2, and R3 indicated the residents were receiving medication administration, however the records failed to contain documentation from a medical practitioner stating a manager or caregiver could administer medications. 3. Review of the records for E1, E2, and E3 failed to reveal that these employees were under the direction of a medical practitioner to administer medication to residents. 4. During an interview, E1 acknowledged the required documentation was not in the records.

Based on observation and interview, the manager failed to ensure that a current toxicology reference guide was available for use by personnel members. Findings include: 1. The toxicology guide available for use by personnel members was the Toxicology Handbook, 3rd. edition. 2. The Internet web site for the toxicology guide revealed that a more current edition was available for distribution. 3. During an interview, E1 acknowledged that a current toxicology reference guide was not available for use by personnel members. This is a repeat deficiency from the compliance inspection conducted on September 29, 2022.