Charter Senior Living of Fox Hollow

The facility failed to maintain a safe environment by allowing unsecured oxygen cylinders to be stored on the floor in a resident's room. This created a potential hazard as full, unsecured cylinders could fall and pose a risk of explosion.

The facility failed to ensure that the resident's physician authorizes personal care services and certifies the care plan by signing and dating it within 15 calendar days of the assessment completion.

The facility failed to maintain a safe environment free from hazards by storing unsecured oxygen cylinders in a resident's room. Specifically, two oxygen cylinders were found on the floor in front of a storage rack in room 116. Staff indicated that the cylinders were placed on the floor because there was no other available storage space.

The facility failed to maintain hot water temperatures between 100 and 116 degrees Fahrenheit. Observations revealed 6 of 11 fixtures had water temperatures ranging from 117 to 123.1 degrees F.

The facility failed to ensure that hot foods were maintained at 135 degrees Fahrenheit or higher until residents were ready to eat. Observations during breakfast and lunch services showed food being served from dishes placed on top of a warmer rather than being held at the required temperature.

The facility failed to maintain hot water temperatures at all resident fixtures between 100 and 116 degrees Fahrenheit. Observations revealed 6 out of 11 fixtures had temperatures ranging from 117 to 123.1 degrees F, specifically including bathroom sinks in rooms 236 and 233.

The facility failed to ensure that residents' physicians certified their care by signing and dating care plans within 15 days of assessment for 4 out of 5 sampled residents. Specifically, for Resident #4, the care plan was undated, partially completed, and lacked the primary care provider's signature.

The facility failed to ensure that residents' physicians certified their care by signing and dating care plans within 15 days of assessment for 4 out of 5 sampled residents. Specifically, for Resident #4, the care plan was undated, partially incomplete, and lacked the primary care provider's signature and date.

The facility failed to ensure that a staff member transferred from a sister facility had a current criminal background check performed in accordance with state requirements. A review of the personnel file for Staff C showed the last background check was completed in June 2016, and no new check was conducted upon their transfer on March 21, 2017.

The facility failed to ensure that one of six sampled staff members had a criminal background check performed upon their transfer from a sister facility. Although a background check had been completed at the previous facility in 2016, no new check was conducted for the transfer.

The facility failed to perform timely follow-up on medication aide verification for one of two sampled employees. This resulted in a failure to verify the required training and competency status prior to the employee working on the medication cart.