D & H Family Care Home #2

The facility failed to implement and document physician orders for weekly weights for one resident. Review of records showed an 8-pound weight loss was noted in physician summaries, but the medication administration records lacked weight entries. Additionally, weight documentation provided by the administrator was incomplete, lacking dates, years, and clear identification of what the numbers represented.

The facility failed to implement physician orders for weekly weights for one resident. Documentation in the Medication Administration Record (MAR) was missing, and weight logs provided by the administrator lacked necessary dates and clear identification of what the numbers represented.

The facility failed to complete an initial assessment using the Resident Register within 72 hours of admission for 2 of 3 sampled residents. Specifically, Resident #2 and Resident #3 did not have completed Resident Registers with all required information and signatures documented within the required timeframe.

The facility failed to ensure a Resident Register was completed for 2 of 3 sampled residents within 72 hours of admission. Specifically, Resident #2's register lacked essential information and signatures, and Resident #3's register was missing signatures.

The facility failed to maintain clean and well-repaired walls, ceilings, and floors in several resident areas. Specific issues included heavy dust and stain accumulation on baseboards, walls, and vents, as well as physical damage such as cracked drywall, missing paint, and rusted fixtures in the left hall bathroom and hallway.

The facility failed to maintain hot water temperatures at resident fixtures between 100 and 116 degrees Fahrenheit. Specifically, temperatures were measured as high as 124 degrees F in the right hall common bathroom and 118 degrees F in the left hall common bathroom. Additionally, the facility lacked a thermometer and a hot water temperature check log.

The facility failed to maintain clean and well-repaired walls, floors, and surfaces. Specific issues included food stains and dirt on kitchen walls and baseboards, loose caulking and stained baseboards in bathrooms, and stained or damaged carpeting and doors in resident rooms.

The facility failed to maintain clean and repaired walls, floors, and surfaces. Specific issues included food stains and dirt on kitchen walls and baseboards, chipped paint on a pantry door, loose caulking and dirt in bathrooms, and holes in resident room walls and closet doors.

The facility failed to ensure furniture and fixtures were in good repair. Observations included kitchen cabinets missing knobs and resident room chests having chipped paint.