Clara's Cottage # 2

The facility failed to ensure that 2 of 3 sampled residents had completed required tuberculosis (TB) testing upon admission. Specifically, one resident did not receive a required second TB skin test within the mandated timeframe after admission, and another resident's records showed an outdated TB screening.

The facility failed to ensure that 2 of 3 sampled residents had completed required tuberculosis (TB) testing upon admission. Specifically, one resident did not receive a required second TB skin test within the mandated timeframe after admission, and another resident's records showed an outdated TB screening.

The facility failed to maintain an accurate and readily retrievable record of controlled substances. Specifically, the medication administration record (MAR) for one resident did not accurately reflect the receipt, administration, and disposition of Hydrocodone Acetaminophen, making accurate reconciliation impossible. Discrepancies were noted between the physician orders, the MAR, and the narcotic inventory sheet.

The facility failed to properly document the controlled substance examination and screening for a staff member hired in June 2016. Specifically, the personnel file lacked documentation of the screening procedure used and did not contain a signed consent for the examination and screening.

The facility failed to ensure that controlled substance examination and screening were properly performed and documented for a staff member hired after 10/01/13. Specifically, the personnel file for Staff B lacked documentation of the screening procedure used and did not contain a signed consent for the controlled substance examination and screening.

The facility failed to provide tuberculosis (TB) testing for one live-in non-resident who had been residing in the home since May 6, 2015. Documentation was not on file to prove that this individual was free of tuberculosis disease.

The facility failed to maintain furniture in a clean and good repair. Specifically, a living room sectional couch was heavily stained and had multiple tears in the fabric, and a chair in a resident room had shredded fabric with visible foam.

The facility failed to serve a therapeutic diet as ordered by the resident's physician. Specifically, one resident with diabetes was not provided the required 1600 to 1800 calorie consistent carbohydrate diet, and the supervisor was unaware of the resident's special dietary needs.