Candlesticks Family Care Home

The facility failed to ensure that staff member (Staff A) who administered medications had successfully passed the state medication administration examination and had a validated clinical skills checklist. Records showed the staff member had completed training but lacked documentation for the required exam and skills validation.

The facility failed to ensure medications were administered as ordered for 7 of 3 sampled residents. Specifically, the deficiency related to the administration of an antidepressant and an antipsychotic medication for resident #2.

The facility failed to ensure that a staff member administering medications had successfully passed the state medication administration examination and had a validated clinical skills checklist. Records for Staff A showed completed training but lacked documentation for the required examination and skills validation despite the staff member administering medications for several months.

The facility failed to contact the resident's Primary Care Provider to clarify medication orders for a sleep aide. Specifically, the facility did not resolve discrepancies between orders and failed to ensure instructions for determining the dose of trazodone were clear and complete. Consequently, medication administration records lacked documentation of the specific dose administered to the resident.

The facility failed to contact the resident's Primary Care Provider to clarify medication orders for trazodone. Specifically, the facility did not seek guidance for determining the correct dose when the order provided a range of 25mg to 50mg. Additionally, the Medication Administration Records (MARs) failed to document the specific amount or dose of the medication actually administered to the resident.

The facility failed to ensure that a two-step tuberculosis skin test was completed for a sampled resident upon admission. While a first step was recorded, there was no evidence of the required second skin test within the required timeframe. Staff and administration were unable to confirm the completion of the second step in the resident's records.

The facility failed to ensure a 2-step tuberculosis (TB) skin test was completed for one resident upon admission. While a first skin test was recorded, there was no evidence of a second skin test in the resident's medical record.

The facility failed to ensure that one of two sampled medication aides completed the required 10-hour medication administration training program within 60 days of hire. Personnel records for Staff B showed the initial 5-hour training and clinical skills evaluation were completed, but lacked documentation of the additional 10-hour training requirement.

The facility failed to ensure that one of two sampled medication aides completed the required 10-hour medication administration training program within 60 days of hire. Personnel records for Staff B showed the initial 5-hour training was completed, but no documentation existed for the subsequent 10-hour training requirement.