Dedove Homes INC at Riverknoll

The facility failed to ensure that residents had current diet orders documented. Specifically, reviews of resident records and FL-2 forms revealed that nutritional status was not listed or current diet orders were missing for sampled residents.

The facility failed to ensure that three sampled residents had current diet orders documented. Specifically, the nutritional status section on the residents' FL-2 forms was blank, and there were no current diet orders maintained in their records.

The facility failed to ensure that the preparation and administration of medications and treatments are in accordance with orders by a licensed prescribing practitioner maintained in the resident's record.

The facility failed to ensure that one of three sampled medication aides had passed the required medication aide written examination. Staff A continued to administer medications for over 60 days after hire without passing the exam, which resulted in risks such as failure to administer prescribed eye drops, blood pressure medication, and sleep medication.

The facility failed to ensure that one of three sampled staff members who administered medications had passed the required medication aide written examination. While the staff member had completed training and clinical skills validation, there was no documentation of a passing exam score.

The facility failed to ensure that the front and back hall resident bathrooms were kept clean and in good repair. Observations revealed various issues including dirt, hair, and stains on floors, walls, and fixtures, as well as detached molding and a missing towel rack.

The facility failed to store cleaning products and pesticides in a locked area, leaving hazardous chemicals accessible to residents. Specifically, unlocked hall closets and unlocked bathroom cabinets contained bleach, insect killer, and tub cleaners.

The facility failed to ensure that common bathrooms used by residents were kept clean and in good repair.

The facility failed to provide separate locked areas for storing hazardous cleaning agents. Specifically, cleaning chemicals including bleach and insect killer were found in an unlocked hall closet and an unlocked bathroom cabinet, making them accessible to residents.

The facility failed to keep common bathrooms clean and in good repair, as evidenced by black stains on tile grout, brown/yellow stains on toilet sealant, and rust marks on ceiling vents. Additionally, the daily cleaning logs lacked detail and were incomplete for several dates in September.