Community Care Home

The facility failed to ensure that annual resident assessments and care plans were completed for three sampled residents. Specifically, records for residents admitted in 2017 and 2019 showed that the last assessments had not been updated for several years.

The facility failed to ensure that annual resident assessments and care plans were completed for three sampled residents. Records showed that the last assessments for these residents had not been updated for over a year, with some dating back to 2019 and 2020.

The facility failed to implement physician orders for daily fingerstick blood sugar (FSBS) readings for one resident. Medication administration records showed no entries for these readings, and the resident lacked the necessary glucometer, test strips, and lancets at the time of inspection.

The facility failed to ensure at least one staff person on each shift had completed a CPR and choking management course within the last 24 months. Specifically, the training record for Staff B showed a previous certification that had expired in July 2016, and a subsequent online course lacked documentation of a return demonstration.

The facility failed to ensure that two sampled staff members (Staff A and B) were competency validated via return demonstration for Licensed Health Professional Support (LHPS) tasks, specifically fingerstick blood sugars.

The facility failed to ensure that two sampled staff members were competency validated via return demonstration for Licensed Health Professional Support (LHPS) tasks involving fingerstick blood sugars. Personnel files for Staff A and Staff B lacked documentation of completed competency validations for this specific task.