Channel Point Village

The facility failed to ensure medications were available to be administered for one resident, resulting in the resident not receiving medications as ordered.

The licensee failed to ensure medications were available to be administered for one resident, resulting in missed doses and risk of unmet care needs.

The licensee failed to provide necessary handwashing supplies in seven residents' rooms, placing residents, staff, and visitors at risk.

Facility failed to monitor and document changes in resident conditions for 7 of 9 residents (R2, R3, R5, R6, R7, R8, and R9), including falls, medication changes, and health incidents.

No documentation of facility orientation for staff B, C, D, and G; staff reported no orientation provided.

Staff C had not completed CPR and first-aid training.

Facility failed to ensure 4 of 4 sampled staff (A, B, C, D) completed required two-step TB testing within the required timeframe.

Facility failed to ensure hot water temperature remained between 105°F and 120°F. Temperatures in 5 areas were measured above 120°F (highest 122.6°F).

Facility failed to complete and document a preadmission assessment for 1 of 5 sampled residents (Resident 3).

Facility failed to maintain a safe, sanitary, and well-maintained environment. Observed active roof leaks in the kitchen, above a second-floor ledge, and in Resident 10's room, with no work orders available.

Facility failed to ensure the resident or responsible party signed the negotiated service agreement (NSA) for 1 of 9 sampled residents (Resident 4).

Facility failed to complete the full resident assessment within 14 days following admission for 4 of 5 newly admitted sampled residents (Residents 4, 6, 8, and 9).

Facility failed to investigate and document investigative actions and findings for incidents jeopardizing residents' health for 3 of 4 sampled residents (Residents 5, 7, and 12).

Facility failed to secure hazardous supplies (shampoos, cleansers, hand sanitizer) in 6 locations in the memory care unit, placing residents at risk of ingesting toxic materials.

Facility failed to document the plan to provide assistance with ADLs, outside health support services, intermittent nursing services, and resident preferences for 9 of 10 sampled residents.

Facility failed to provide necessary handwashing supplies in 8 of 9 resident rooms and failed to ensure staff washed their hands per recommended guidance, placing residents, staff, and visitors at risk for infection spread.

Facility failed to ensure 4 of 4 sampled staff completed facility orientation upon hire, 2 of 2 sampled staff completed annual continuing education, and 1 of 4 staff completed CPR/First Aid.

Staff E and F failed to complete 12 hours of annual continuing education and mandatory dementia-specific training.

Facility failed to complete reference checks for Staff C.

Facility failed to complete the Negotiated Service Agreement (NSA) within 30 days of admission for 3 of 5 newly admitted sampled residents (Residents 4, 8, and 9).

Facility failed to assess and determine nurse-delegated tasks for residents, failed to notify the nurse delegator of new insulin orders, and lacked documentation of nurse delegation training for staff.

Facility failed to ensure medications were administered as ordered by a physician (missing vitals for heart/blood pressure parameters and missed doses) and failed to ensure safe medication administration practices.

Facility failed to complete a national fingerprint background check for 1 of 4 sampled staff (Staff A).

Facility failed to ensure medications were available for 3 of 9 sampled residents, resulting in missed doses without required alert charting or physician notification.

Facility failed to notify the physician when 2 of 9 sampled residents refused medications.

Staff failed to follow proper infection control practices by removing Personal Protective Equipment (PPE) outside of residents' rooms instead of inside, placing staff and residents at risk.

The facility failed to complete and document required professional reference checks for 1 of 3 staff members reviewed, leaving critical evaluation sections blank.

Staff failed to follow facility medication administration policy, resulting in a medication error where a resident was given another resident's medications.