Chestnut Hill of Highlands

The facility failed to ensure that 2 of 3 sampled residents were tested for tuberculosis disease upon admission in compliance with required control measures. Specifically, there was no documentation of a 2-step TB test or chest x-ray for Resident #2 and Resident #1.

The facility failed to ensure that 2 of 3 sampled residents were tested for tuberculosis disease upon admission in compliance with required control measures. Specifically, records for Resident #2 and Resident #1 showed no documentation of a 2-step TB test or a chest x-ray being completed.

The facility failed to ensure that an initial assessment of each resident is completed within 72 hours of admission using the Resident Register. The facility must implement a structured timeline and training to ensure assessments are finalized by the 72-hour mark.

The facility failed to ensure that 2 of 3 sampled residents were tested for tuberculosis disease in compliance with required control measures upon admission. Specifically, documentation was missing for the required second-step TB skin tests for Resident #1 and Resident #3.

The facility failed to ensure that 2 of 3 sampled residents were tested for tuberculosis disease in compliance with required control measures upon admission. Specifically, records for Resident #1 and Resident #3 showed only a single-step TB skin test was documented, missing the required second step or an Interferon Gamma Release Assay.

The facility failed to ensure that two out of five sampled Medication Aides completed required training on the care of diabetic residents before administering insulin. Specifically, Staff B and Staff C were documented administering insulin for several weeks or months prior to receiving the necessary training.

The facility failed to ensure that unlicensed staff completed required training on the care of diabetic residents prior to administering insulin. Specifically, two medication aides were identified who administered insulin before their training documentation was completed or after they had already been performing duties for several weeks.

The facility failed to ensure that a Medication Aide had completed required training on the care of diabetic residents prior to administering insulin and performing blood glucose monitoring. A review of personnel records showed no documentation of this training for the staff member, despite records showing they had administered insulin to residents throughout July and August 2019.

The facility failed to ensure that one sampled Medication Aide had completed required training on the care of diabetic residents prior to administering insulin and performing finger stick blood sugar checks. Personnel records showed no documentation of this training despite the staff member performing these clinical tasks.

The facility failed to ensure all food and beverages being procured, stored, prepared, or served were properly covered, dated, and labeled. An inspection of the kitchen revealed food items that were not in compliance with these safety standards.